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On 7 August 2019, Sims joined New York Red Bulls on loan until the end of the calendar year. On 20 October 2019, Sims scored his first goal as a professional to help New York to a 1–0 lead against Philadelphia Union in the 2019 MLS Cup Playoffs, New York would eventually lose 4–3 in overtime. After appearing in nine matches and scoring one goal, Sims’ loan with New York Red Bulls was extended until 30 June 2020.

On 20 August 2018, Sims joined Reading on a season-long loan. He made his debut for Reading two days later, in a 2–2 away draw with Blackburn Rovers in the Championship. Sims was brought on just after the hour-mark to replace Sone Aluko. He was recalled in January.

Sims joined Southampton's Academy from the Elite Training Centre in 2011. After impressing with the under-23 side, Sims made his professional debut for Southampton on 27 November 2016 against Everton in a Premier League match. He took only a few moments to achieve his first assist of his senior career when he set up Charlie Austin for a headed goal in the first minute. Sims ended the first half with 95% passing accuracy, the best among all players on the pitch, as Southampton went on to win 1–0.

Sims has represented England at U17 through to U20 level. He was a part of the squad that won the 2014 UEFA European Under-17 Football Championship.

Sims made his Europa League debut for Southampton on 8 December, in a 1–1 draw against Hapoel Be'er Sheva.

Sims continued to stay in the mix for the first team into January and provided the game-winning assist for Shane Long in a 1–0 away win against Liverpool to send Southampton into the 2017 EFL Cup final.

Joshua Samuel Sims (born 28 March 1997) is an English professional footballer who plays as a winger for the New York Red Bulls on loan from Southampton.