ABSTRACT Dark matter (DM) with self-interactions is a promising solution for the small-scale problems of the standard cosmological model. Here we perform the first cosmological simulation of frequent DM self-interactions, corresponding to small-angle DM scatterings. The focus of our analysis lies in finding and understanding differences to the traditionally assumed rare DM (large-angle) self-scatterings. For this purpose, we compute the distribution of DM densities, the matter power spectrum, the two-point correlation function, and the halo and subhalo mass functions. Furthermore, we investigate the density profiles of the DM haloes and their shapes. We find that overall large-angle and small-angle scatterings behave fairly similarly with a few exceptions. In particular, the number of satellites is considerably suppressed for frequent compared to rare self-interactions with the same cross-section. Overall, we observe that while differences between the two cases may be difficult to establish using a single measure, the degeneracy may be broken through a combination of multiple ones. For instance, the combination of satellite counts with halo density or shape profiles could allow discriminating between rare and frequent self-interactions. As a by-product of our analysis, we provide – for the first time – upper limits on the cross-section for frequent self-interactions.