Recent studies have presented evidence for tension between the constraints on Omega_m and sigma_8 from the cosmic microwave background (CMB) and measurements of large-scale structure (LSS). This tension can potentially be resolved by appealing to extensions of the standard model of cosmology and/or untreated systematic errors in the modelling of LSS, of which baryonic physics has been frequently suggested. We revisit this tension using, for the first time, carefully-calibrated cosmological hydrodynamical simulations, which thus capture the back reaction of the baryons on the total matter distribution. We have extended the BAHAMAS simulations to include a treatment of massive neutrinos, which currently represents the best motivated extension to the standard model. We make synthetic thermal Sunyaev-Zel'dovich effect, weak galaxy lensing, and CMB lensing maps and compare to observed auto- and cross-power spectra from a wide range of recent observational surveys. We conclude that: i) in general there is tension between the primary CMB and LSS when adopting the standard model with minimal neutrino mass; ii) after calibrating feedback processes to match the gas fractions of clusters, the remaining uncertainties in the baryonic physics modelling are insufficient to reconcile this tension; and iii) if one accounts for internal tensions in the Planck CMB dataset (by allowing the lensing amplitude, A_Lens, to vary), invoking a non-minimal neutrino mass, typically of 0.2-0.4 eV, can resolve the tension. This solution is fully consistent with separate constraints from the primary CMB and baryon acoustic oscillations.
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