Methods, systems, and computer programs are presented for managing motion sickness of a user while the user is wearing a head-mounted device (HMD). One method includes an operation for monitoring the physical characteristics of the user while wearing the HMD that is presenting a virtual reality with multimedia content, where the physical characteristics including motions of the user. The multimedia content includes audio and video for presentation on a display of the HMD. Additionally, the method includes an operation for determining if the user is experiencing motion sickness based on the monitoring of the physical characteristics of the user while the virtual reality is being presented. When the user is experiencing motion sickness, supplemental sound is delivered to the user, where the supplemental sound is combined with sound from the multimedia content for delivery to the user, and the supplemental sound is defined to decrease the motion sickness experienced by the user.
