GAMEPLAY GUIDE - TheMrNewVegas/TTWTrueVegas GitHub Wiki

Part 1: Character Setup, How to Leave the Capital, & How to beat the Game

Character Creation

Make sure to set up your character to an optimal build you like. Tag skills, perks, and skill points matter! You will only receive 8-12 skill points per level dependent on intelligence and leveling is SLOW. In addition you will not receive double skill points on your tag skills. If you do not know what the special skills or the skills affect I would suggest reading carefully through each as you go through character creation.

Traveling to the Mojave

Follow the New Canaan Questline to Get to the Train Station, then select the TTW quest when it pops up. It is HEAVILY recommended you play through Fallout 3 first and take things slowly.

Beating FO3 & Playing Post-Game

When you are about to beat Fallout 3, make sure to send Sarah Lyons or a companion inside as well! Otherwise the game will end and you will not continue into the DLC and be able to play post end game

Part 2: Gameplay Tweaks & Controls

Tweaks

Gameplay tweaks as well as mod configuration settings are extremely important for tailoring the game to how you would like to play.* In addition, they can help fix overlaps between multiple mod/in game key binds. Please refer to the list below to change the proper key binds to help minimize this overlap. Below these key bind changes will also be a full compilation of tweaks and what they do alongside our very own @Kragos#2049 tweaks list.

Suggested MCM Key Bind Changes

B42 Melee Bash: V
Toggle Visual Objective: N
Stewies Tweaks Change Ammo Type: Double tab R
JIP Select Fire: L-Alt
JAM

Weapon Hweel: H

Sprint: L-Shift

Bullet Time: X

Quantum Trigger Time Stop: \
B42 Inspect

Weapon Condition: P

Ammo Check: O

B42 Quickthrow

Throw: G

Select Key: 9

Stop Throw: R

Realtime Weapon Modding: C
3rd Person Shoulder Swap: Right Click(Aim) + F

Tweaks & What They Do

2 Hotkey Restored - replaces the 'Ammo Swap' icon with a functional weapon slot '2' (rebinding the Ammo Swap Key may be required)
Activating While Seated Doesn't Stand Up - prevents standing up when you press 'Activate' without a ref selected while seated
Aiming Unholsters Weapons - take out your weapon when aiming
Allow Activate While Animation Plays - allow activating objects while firing, reloading, jumping etc.
Allow Sleep Wait With Reduced Max Health - allow sleeping while max health is temporarily reduced
Allow Weapon Hotkeys While Equipping - use weapon hotkeys while switching weapons
Better AutoWalk - moving left/right does not cancel autowalk and add backwards movement support
Better Pickup Prompt - show the value and weight for a whole stack of items while looting and indicate the weight in red if it would overencumber you
Billy Goat Mode (Climb Steeper Angles) - allow adjusting of max walking/jumping/autowalk climbing angle

Clicking Shows Rest Of Terminal Note Page - make clicking in terminals only skip to next page if the whole page is shown already
Compass Rotates In Vanity Camera - also rotate the compass while holding the POV button to look around
Console Background - add a background to the console
Console Output Text Shadow - darken and add a faint shadow to console output text
Decrease Dialogue And Start Menu Click Delay - half the delay between clicking on menu items (500ms->250ms)
Delay Post Combat LevelUp - add a 3s delay after combat before the LevelUp menu will show
Delay Post Combat Reputation Message Box - add a 3s delay after combat before the reputation changed message box will show
Don't Save Duplicate Commands To Console History - prevent consecutive duplicate commands being stored in the sent history
Entering VATS Doesn't Unholster Weapon - allow entering VATS without unholstering your weapon
Extra Selected Console Ref Details - include the name of the last mod that modified the selected console ref
Faster Save Menu Close - remove a hard-coded 3 second delay when saving with the save menu
Faster Sleep Wait - add a configurable delay between hours while waiting or sleeping
Faster Terminal Hacking Transition - decrease the delay after successfully hacking from 3 seconds to 0.5 seconds
Faster Title Screen - remove the wait for the Fallout New Vegas logo to be at full alpha
Faster Quest And Note Menu - only redraw the menus when gaining new notes/quests
Godmode Prevents Landing Pain Sound - prevent the hit shader and landing sound when falling in godmode
Hide Grenade Indicator If Explosion Does No Damage - hide the HUD grenade indicator for projectiles whose explosions do no damage
Improved Character Edit Menu - add right click/Y to allow panning in the character creation menu
Improved Flycam Controls - add AutoMove, flying up and down using Jump and Crouch, rotating pressing Z and C, and scroll wheel to change flight speed. Additionally pressing Reload enables a smooth camera
Improved Hacking - options to: prevent single character attempts, i.e. clicking on "/" won't use an attempt; prevent duplicate guesses; remove a dud instead of replenishing allowance if allowance is already full; don't print the clicked on characters with the "Dud removed" and "Allowance replenished" messages; remove dud ignores guessed words; print guesses on a single line instead, e.g. HORIZON (1/7)
Include Plugin Name In Console Prints - prepend [Modname.esp] to debug prints from scripts
Keep Quest Text Visible While Aiming - don't hide the quest/location text when aiming
Keep Roulette Bet Amount - don't reset the bet amount to 1 after playing roulette
Less Restrictive VATS Menu Exiting - allow dequeuing actions or exiting vats while zooming in/out
Level Up Menu Scrollwheel Support - allow use of the scrollwheel to increase/decrease skills in the Level Up Menu
Lockpick Click To Rotate - add left click to rotate during lockpick
Lockpick Keyboard Controls - add (control/shift) left+right to move the bobby pin and jump to spin the screwdriver
Lower Ambient Music Volume During Dialogue - scale the volume of background music during dialogue
Lower Radio Song Volume During Dialogue - lower the volume of radio songs while speaking to an NPC
Marker Added Popup Name - include the cell name in the "Map marker added." popup
Menu Numpad Support - allow use of numpad in menus and the console
More Responsive Controller Aiming - improves responsiveness of looking around with a controller
Multithreaded Hacking Menu - improve hacking menu speed by loading words in background when opening the menu
No Interior Black Post-Loading Screen - remove the hardcoded 1 second of black screen after entering all interiors
No Loading DLC Popup at Start Menu - remove the "Loading extra content" popup at the start menu
No Minimum Companion Map Distance - remove the minimum distance for showing a companion on the world map
No PipBoy On Alt Tab - stop the PipBoy from opening/closing when you ALT-TAB
No Place Marker Popup - don't show the 'Place/Remove marker' popup when placing markers on the map
No Poison Confim - remove the confirmation prompt when poisoning a weapon
No Screenshot Popup - print the "Screenshot Created" message to console instead of showing a popup
Non-Selectable Player In Console - prevent the player being selected when clicking in console (happens frequently with Enhanced Camera)
Optimise Vanilla Functions - rewrite various vanilla functions to decrease loading/saving time and improve general performance
Persistent Console History - store/restore sent console commands to a text file between sessions
Queue Holster Weapons While Anims Play - pressing holster weapon while animations play will holster the weapon when they are finished
Radio Keeps Song Position When Loading Saves - don't rewind current song when loading a save if the same song is playing
Rebind 1/3-9 Hotkeys - allow rebinding the 1/3-9 weapon hotkeys in the settings menu
Reloading With No Ammo Swaps Types - swap ammo types when reloading with no rounds of the current type
Remember Selected Console Ref - remember the selected reference when closing the console
Save PipBoy Scroll Positions - store the scroll height of each inventory page in the cosave
Scope Visibility Delay - delay visibility of scope overlay when zooming in, and optionally stopping aiming while reloading
Select Unavailable Radios - allow selecting unavailable radios to use when back in range
Show Currency In Misc Containers And Caps In PipBoy - unhide faction currency in the misc tab of containers, and caps in the PipBoy
Show Quest And Non DR/DT Items In Vendor Repair Menu - unhide quest items and armors with no DR/DT in the vendor repair menu
Show Unconscious Companions on Map - show unconscious companions on the local/world maps (in red)
Skip Continue Game Prompt - skip the "Continue from your last saved game?" prompt when clicking continue game in the main menu
Skip Deathcam Hotkey - add hotkey 'left-alt' to instantly end the player deathcam
Skip Main Menu Loading Video - automatically skip the loading video when entering the main menu
Skip To Perk Screen If No Skill Points To Assign - skip the skillpoint screen if all skills are already maxed out
Slot Machine Continual Spin Hotkey - add a hotkey 'W' to continually spin the slot machine
Smooth True Iron Sights Camera - aim down sights without the camera snapping to place!
Sort Usable Ammos To Top - sort equipable ammo to the top of the inventory
Un-hotkey Items - allow removal of a hotkey from an item by selecting it again
Use Hip Fire Anims While Scoped - use hip fire animations and recoil patterns while scoped to prevent weapons lingering in your face when unscoping
VATS Ignores Teammates - stop VATS targeting companions
VATS Target Head By Default - target the head instead of torso when entering VATS
Menu/HUD
12 Hour PipBoy Clock - show the time in 12 hour format in the PipBoy MapMenu
24 Hour Sleep/Wait Clock - show the time in 24 hour format in the Sleep/Wait menu
Added To Inventory Message Uses Item Icon - use item icon instead of 'present' icon when gaining items
Ammo Label Uses Long Name - use the longer name for ammo on the HUD
AP and HP Visible While Using Scope - show the AP and HP bars while using a scope
Barter Quantity Menu Shows Value - show value in the barter quantity menu
Barter Show Total When Over Sell Limit - show the total barter amount even if it's more than the merchant's caps
Better Map Zooming - zoom in where the cursor is on the map menu
Changing Container Category Scrolls To Top - scroll to the top when changing container/barter categories
Clicking Current Pipboy Tab Sorts/Filters Inventory - clicking on the current pipboy tab sorts/filters the inventory
Color New Map Markers - color newly added map markers in red (till the save is reloaded)
Colored HUD Bars - color the HP and AP bars red when they are low
Companions Use Location Font on Map - make companions use the same font as locations on the map
Compare Armor Stats - add - or + next to armor DT and DR in inventories compared to the current equipped armors
Compare Weapon Stats - add - or + next to weapon damage and DPS in inventories compared to the current equipped weapon
Compass Always Shows Nearest New Location - always show the nearest undiscovered location on the compass or map
Compass Height Indicator - show whether an NPC is above or below the player on the compass as in Fallout 4
Compass Left Side Fade - fade icons for NPCs, doors etc. on the left side of the compass (works well with a centered compass)
Critical Hit Messages Include Limb Name - include the limb name in critical hit messages
Custom Add To Inventory Message Timer - customise the length of time the 'Added to inventory' message is shown
Custom Companion HUD Color - customize the color for companions on the compass
Custom Max HUD NPC Compass Ticks - allows a custom max number of compass ticks above the vanilla maximum of 10
DD.MM.YY Date Format - use a custom date format in the Sleep/Wait and PipBoy menus
Dialog Number Hotkeys - add hotkeys to press dialog options (pairs well with VUI+'s numbered topics setting)
Disable Compass Edge Alpha - remove the hardcoded fade from NPCs, locations and player placed marker on the right side of the compass
Disable Grenade Indicator - hide the nearby grenade indicator
Disable HUD Hotkey Wheel - prevent the hotkey wheel showing when holding a hotkey
Disable Hard-coded Tutorial Messages - disable hard-coded one-time tutorial menu messages
Disable Hardcore/RADS Needs Messages - prevent the "... increased" and "You are now sick with ..." messages, toggle each individually
Distance Based Compass Alpha - scale the alpha of compass locations and NPCs based on distance from the player
Distance Based Quest Marker Visibility - hide the quest marker if it is further than some distance from the player (separate value for interiors/exteriors)
Disable Show Quest Location - disable the "Show Location" button functionality in the quests tab
Don't Multiply Item Stats By Stack Size - show the stats of an individual item instead of the entire stack in inventories
Drop Item Hotkey - add a key 'Q' to drop items in the PipBoy
Extended Menu WASD Support - allow WASD for movement and spacebar for interaction in menus. Moving left/right will jump down a page in listboxes. TAB goes back or closes any menu. Scale scroll speed in menus while Shift is held (optional). Navigate the Map Menu by holding alt and using WASD and zoom in and out with W/S if alt isn't held
Grey Read Terminal Notes - grey out terminal entries after reading them
HUD Color Sliders - add color sliders for the main HUD in the settings menu - note DUI doesn't support the extra options
HUD Show Region Names - show interior cell names or the closest marker name in the HUD region text (the bottom left 'Mojave Wasteland' text)
Hide Ammo Label - hide the ammo label from the main HUD, optionally showing total ammo
Hide Caps Added Messages - hide item added messages for caps
Hide Completed Quests - hide completed quests in the PipBoy
Hide Crosshair In First Person - hide the crosshair while in first person
Hide Crosshair In Third Person - hide crosshair in third person
Hide Crosshair In Killcams - hides the crosshair during cinematic/player view killcams
Hide Cursor In Dialog - hide the cursor during dialog
Hide Equipped Items In Barter/Containers - don't display player equipped items in the barter menu and containers
Hide Exterior Load Screen Backgrounds - remove the background image and tip text when changing cells (excludes loading a save)
Hide Food Worn Off Message - prevent the 'X worn off' message for food items
Hide Healthbar In Killcams - hide the healthbar during killcams
Hide Hotkeyed Items in Barter/Containers - hide items that are in the 1-8 hotkey slots in barter/container menus
Hide Hotkeyed Items In Repair Menu - prevent repairing with hotkeyed items
Hide HUD Crippled Limb Indicator - prevent the vaultboy showing when you injure a limb
Hide Loading Screen Tips - hide the tips shown during load screens
Hide Location Popup - stop the 'Location Discovered' text
Hide Main Menu Downloads Button - remove the downloads button from the main menu
Hide Map Marker Added Popup - remove the "Map Marker Added" popup
Hide Map Marker Faction Reputation - hide the faction reputation on locations in the world map
Hide Misc Quest Items - hide quest items in the misc PipBoy tab
Hide No Fast Travel Undiscovered Message - prevent the 'sNoFastTravelUndiscovered' mesasge when clicking on an undiscovered map marker
Hide PipBoy Quest Item Weight And Value - hide the weight and value of quest items and keys in the PipBoy
Hide Quest Failed Popup - hide the quest failed text (optionally only if the quest was started)
Hide Quest Objective Text - hide the quest added text when objectives are added, or a save is loaded - optionally hide completed objectives
Hide Ranks In Trait Description - hide the 'Ranks' from the description of traits in the Trait menu
Hide Read Notes - filter out read notes in the PipBoy
Hide Red Crosshair On Distant Invisible NPCs - prevent the red crosshair when mousing over invisible enemies in the distance
Hide Reputation Messages - disable the reputation gain/loss messages and popups (optionally only hide them if you're already at min/max rep)
Hide Reputation Tab If Empty - hide the stats menu reputation tab if you haven't met any factions
Hide Skill Tags - hide the [Speech] etc. tags in dialogue, and [FAILED] and [SUCCESS] in responses
Hide Unavailable Radios - don't show unavailable radio stations in the PipBoy radios tab
Hide Unconscious Message - remove the "... is now unconscious" message when an actor is knocked out
Hide Unmarked Compass Locations - show unvisited locations on the compass only if they are marked on the map
Hide Unspoken NPC Names - hide the names of NPCs that haven't spoken to the player from the HUD prompt
Hostiles Use Neutral Color On Compass - make hostiles the same color as friendlies on the compass
HUD Weapon Name Label - briefly show the current weapon name when a weapon is equipped
Invert Pipboy Repair Condition Sorting - sort low condition items to the top of the pipboy repairs list
Item Repair List Preview - make holding ALT and opening the repair menu show which weapons/armors can repair the hovered item
Keep Crosshair When Aiming - keep the crosshair visible when aiming with non-scoped weapons
Living Anatomy Shows DR - show the damage resistance of the target, remove useless decimal places for DT and hide DR/DT if the target has none
Location Discovered Corner Message - show the location discovered text as a corner message
Lockpick/Hacking Requirement Message Shows Current Skill Level - show current skill level in skill required messages
Main Menu Continue Save Icon - show the image of the save to load when 'Continue' is hovered at the main menu
Map Marker Reputation Shows Faction Name - show (Faction name - reputation) when hovering over a location, e.g. (NCR - Neutral)
Menu Alternate Ammo Type Indicator - show a + beside inventory ammo count if you have alternate ammos
Menu Hide Weightless/Sort By Weight Button - add a UI element to the PipBoy, Inventory and Barter menus that toggles visibility of weightless items, or sorts by weight
Menu Search - add Ctrl-F to search in PipBoy, Container, Barter, Recipe, Levelup Perks and Save/Load menus
More Detailed Stats Menu - show the value modifier amount in the (+) and (-) for skills/SPECIAL, and show them above their min/max
More Precise Rad Meter - show decimal places in the radiation meter
No Capitalised Container Categories - don't capitalise the container category titles (Aid, Weapons, Armor etc.)
No Cripple/Critical Messages - disable the messages when crippling or critical hitting an NPC
No Karma Messages - disable the good/bad karma messages and sounds, or stop bad karma sounds repeating within an interval
No Red Crosshair on Enemies - stop the crosshair turning red when hovering over an enemy
No XP Popup - hide the XP bar and sound
PipBoy Shows Weapon Poison Effects - show melee weapon poison effects when viewing weapons in the PipBoy
Player Placed Marker Height Indicator - show whether the player placed map marker is above/below the player
Power Armor Prevents Screen Blood - prevent screen blood effects if you are hit on your power armor
Quest Compass Height Indicator - indicate whether a quest marker is above or below the player on the compass
Recurring Challenge Indicator - show (Recurring) beside the progress indicator for recurring challenges
Remove Sneak Label - remove the [HIDDEN] etc. label
Remove Queued Cripple/Critical Messages For Dead NPCs - remove 'Critical Hit'/Crippled Limb' corner messages when the target dies
Right Click Changes To Previous Container Category - make right clicking the title cycle to the previous category in containers/barter/recipe
Save Character Selector - add a character name selector to the Save/Load menu for switching between playthroughs
Show Active Quest Notes Shows All Started Quests - show notes for all started, non-completed quests instead of just the current quest
Show Book Effects - show 'Permanent {{Skill}} +n' in the Effects tab for books in the inventory
Show Note Menu in PipBoy - show the Scroll menu when opening notes from the PipBoy
Show Sneak Label While Standing - show the [HIDDEN] etc. label while standing
Show [Use Password] On Terminals With Password Note - show [Use Password] if you have collected the password
Show Weapon Ammo Use In Menus - show the ammo used per shot when viewing a weapon in the inventory
Sort Level Up Perks - sort the levelup perk menu alphabetically
Sort Misc Stats - sort the Stats Menu's misc stats page alphabetically
Sort Pipboy Notes - sort the Pipboy Notes tab alphabetically or move unread notes to the top
Sort PipBoy Quests - sort the PipBoy Quests tab alphabetically or by completion
Sort Recipe Menu - sort uncraftable recipes by if you have the required skill for them
Sort Repair Services Menu Alphabetically - sort the RepairServicesMenu by worn/alphabetically/condition
Start Menu Back Key - add hotkey TAB to go back in the start/pause menu
Stats Effects Menu Show Time Remaining - show the time remaining beside temporary effects in the Stats Menu
Stats Menu Percentage XP - show the XP bar as a percentage in the Stats Menu
Switch Controller/Mouse By Clicking/Pressing A - allow switching between controller/keyboard input by pressing A/Clicking
Synchronize Container Categories - make switching categories in containers/barter change both inventories
Terminal Exit Key - pressing TAB exits the current terminal
Terminal Instant Display Hotkeys - add hotkeys Shift and Right Mouse Button to instantly display the current terminal text
Terminal Number Hotkeys - add number hotkeys to select terminal entries
Unvisited Cell Indicator - show a * in the door activation prompt for unvisited interior cells
VATS AP Display Includes Reload Cost - include the reload AP cost when queueing a VATS attack that will cause a reload
Gameplay/Balance Features
Agility Scales Movement Speed - movement speed is affected by the agility stat (affects player and all NPCs)
Ammo Count/Type Memory Per Weapon Ref - remember ammo type and count for all player weapons - replaces a vanilla feature where looting an NPC's weapon would also give some ammo
Automatically Unequip Broken Armor - automatically unequip armor when it breaks (affects player and all NPCs)
Cap Skills by SPECIAL - cap the max value for skills in the Levelup Menu based on SPECIAL stats
Charged Attacks Cost AP - require action points for unarmed/melee power attacks
Cookable Grenades - holding a grenade before throwing it decreases its fuse
Custom Hacking Answer Length - customize the hacking word length, min/max, difficulty multiplier and 'Computer Whiz' perk bonus
Detected By Whom - show the names of all actors detecting the player (excluding teammates)
Disarm Requires Weapon Skill - add a chance for mines to not disarm, or instantly explode based on explosion skill
Double Jump - allow jumping in mid-air
Drop Equipped Weapon Hotkey - adds a hotkey to drop the equipped weapon
Entering VATS Costs AP - require Action Points to enter VATS, optionally only allow VATS if you have enough AP to fire the weapon
Fallout 76 Encumbrance - allow running and jumping while over-encumbered using action points
Fast Travel Requires Nuka Cola - make fast travel consume an Ice Cold Nuka or Nuka Quantum/Quartz/Victory
Hold And Release Throwables - allows click and holding throwable weapons before throwing them
Instant End VATS Hotkey - add hotkey MenuMode (the PipBoy key) to instantly exit a VATS killcam
Jumping Costs Action Points - add an Action Points cost when jumping
Jump While Aiming - remove the block on jumping while aiming
Kills Reward AP - earn Action Points when killing outside of VATS
Level Difference Based Combat XP - make XP based on the level difference between the player and killed actor
Manual Reload - stop the game automatically reloading when a clip is emptied
Mark Nearby Locations On Map - permanently reveal locations on the pipboy map when passing nearby
Move During VATS Playback - allow movement during VATS killcams
No Healing Items In Combat - prevent use of healing items while in combat
NPCs Drop Live Grenades - makes NPCs drop a live grenade if crippled/killed mid-throw
NPCs Earn Ammo Casings - allow NPCs to earn ammo casings
Partial Reloads - use reload animations ending in _partial.kf when player reloads with a non-empty clip
Pickpocket Overhaul - modify the pickpocket formula to take into account item weight, target perception and detection. Optionally show success chance
Power Armor Scales Fall Damage - add a multiplier to the damage attained when falling with a power armor torso equipped (affects all NPCs)
Prevent Reloading Without Empty Clip - only allow reloading if the clip is empty
Quick Use - holding shift and activating the crosshair item will equip it (Aid, Armors and Weapons), or the Book Menu when activating notes (requires Book Menu Restored). Show item stats while shift is held (DAM/DPS for weapons, DT/DR for armors)
Remember Bobby Pin Health - keep bobby pin damage between lockpick attempts
Repairs Reward XP - earn XP when repairing items
Robotic Companions Heal With Scrap Metal - heal companions using scrap metal + repair skill instead of stimpaks + medicine skill
Run Slower In Water - scale movement speed when wading through water depending on depth in water (thanks JazzIsParis)
Run While Aiming - remove the movement penalty while aiming
Running Costs Action Points - add an AP cost for running
Scope Hold Breath - decrease scope wobble at the cost of Action Points while shift or Activate are held
Show Doors On Compass - show nearby teleport doors on the compass
Slow Breath Regen - slowly regenerate breath when not underwater (vanilla is instant)
Supported Power Armor - make power armor weightless when worn
Unequip Weapon Mods - allow unequipping weapon mods, hides duplicates from the mod menu and return weapon mods if repairing with a modded weapon
Vendors Obey Their Buy/Sell Flags - make vendors obey their Buy/Sell flags, hiding items they don't accept
Weapon Requirements Matter - disallow the player equipping items without the prerequisite strength and weapon skill levels
Misc Features
Adjustable Scope Zoom - add scroll-wheel to zoom while aiming
Alternate Sighting Node Hotkey - add a hotkey to switch to using ##SightingNode2 if the weapon has one
Anim Debug Prints - show which anims are active for the player in the console
Anim Variants Support - add support for reload/aim/equip/unequip animation variants
Change Radio Station Hotkeys - add next/previous radio station keys
Clear Nearby Player Marker - remove player placed marker when nearby
Combined Combat XP - delay XP popups till the end of combat
Container Respawns Message - show a warning in the bottom bar in a container if the container is set to respawn
Continue Game Hotkey - add hotkey 'R' to load the last save from the Start Menu (for devs only)
Controller Cycles Weapon Hotkeys - use left/right on d-pad for cycling through weapon hotkeys
Convert Screenshot Format - automatically convert screenshots to jpg, tiff or png (thanks iranrmrf)
Double Tapping Reload Changes Ammo Type - double tapping reload changes ammo types
Equip Last Weapon Hotkey - add a hotkey to equip the last equipped weapon
Exit Game Hotkey - add a hotkey to exit the game
Exit to Main Menu Hotkey - add a hotkey to exit to main menu
Fire While Aiming In/Out - allow firing weapons while aiming in/out
Fire While Landing - allow firing weapons while lower body animations play
HUD Fatigue Indicator - add a fatigue indicator similar to the H20, FOD and SLP indicators from hardcore mode
Hide HUD Key - add a key to hide the compass/HP and ammo/AP
Hold To Activate - require holding the activate key for some period to use crafting, containers, furniture, terminals, water, or to steal items
Holster Weapon Key - replace 'hold reload to holster' with a hotkey - not compatible with controllers
Interior Fog Remover - remove non-static fog from interiors
Local Map Respawned Cell Indicator - show respawned cells as red and visited cells as white on the local map
Mousewheel Scrolls Weapon Hotkeys - cycle through hotkeyed weapons using the mousewheel
No Lockpick Activate - stop the container menu showing after opening a container with lockpick or key
Numbered Dialog Topics - add the index to the start of dialog options in conversations
Pause on Load Game - automatically pause the game when a save is loaded
Per Bullet Looping Reload - require pressing reload N times to load N rounds for looping reload weapons
Pick Locks And Hack Terminals With Key Or Password - holding shift allows picking locks/hacking terminals even if the key/password is held
PipBoy Local Map Hotkey - add a hotkey for opening the local map
PipBoy Map Hotkey - add a hotkey for opening the PipBoy Map
PipBoy Quest Hotkey - add a hotkey for opening the PipBoy quests tab
PipBoy Radio Hotkey - add a hotkey for opening the PipBoy radios tab
Print Vanilla Errors To Console - enable debug logging left in the game
Radio Volume Up/Down Keys - add hotkeys to increase/decrease the PipBoy radio volume outside of menus
Randomize Killcam Mode - randomly alternate between player view and cinematic killcams
Recently Dead Unlooted NPC Indicator - shows recently killed NPCs on the compass until they have been moused over
Reloading With Full Clip Changes Ammo Type - switch ammo types when reloading with a full clip
Save Hotkeys - add hotkeys to full-save, incremental save and reload the current save
Save Manager - add a customizable number of save slots for incremental and auto-saves, event based saves and a configurable timed auto-save. Also add a 60 frame delay before the vanilla auto-save on cell transition to reduce potential crashing
Separate Horizontal Sensitivity - add a slider for horizontal sensitivity in the controls menu
Shift Screenshot Hides Menus - taking a screenshot while holding shift hides the menus
Skip Radio Track/Topic Key - add a key to skip the current radio track
Smooth Camera Hotkey - adds a hotkey to toggle a cinematic/smooth camera
Spam Activate Key - add a hotkey to repeatedly press the use key
Stealing Sends No Alarm - don't alert NPCs when stealing their items (excludes pickpocketing)
Talk While Sneaking If Shift Held - allow talking while sneaking (instead of pickpocketing) while shift is held
Toggle 1st Person When Unholstering Weapon - toggle 1st person when reading a weapon, and 3rd when holstering
Toggle Collision Key - add a key that disables collision while held
Toggle Crosshair Key - add a hotkey to toggle visibility of the crosshair
Toggle Menus Hotkey - add a hotkey for the ToggleMenus command
Toggle PipBoy Light Key - add a configurable key to toggle the PipBoy light
Toggle Sneak Indicator Hotkey - add a hotkey to hide the sneak indicator
Toggle True IronSights Hotkey - add a hotkey to toggle True IronSights
Toggle-able Scope Night Vision - pressing the Toggle PipBoy Light key while aiming with a night vision weapon toggles off the night vision effect
Turn Slower While Aiming - add a configurable scale on look speed while aiming
Use Keyboard/Mouse In Gamemode While A Controller Is Connected - allow keyboard/mouse while a controller is connected (excludes menus)
Using Keys Rewards XP - gain XP when using keys on doors
Wear Power Armor Without Training - allow wearing power armor without the Power Armor Training perk
Gameplay/Balance Tweaks
Agility Scales Jump Height - jump higher based on agility
Allow Entering VATS While Anims Play - allow entering vats while reloading, landing, firing etc.
Allow Opening Pipboy While Camera Shakes - allow opening the pipboy while the screen is shaking
Allow Pickpocket If Already Caught - allow pickpocketing even if the NPC has already caught you
Allow Unsafe Fast Travel - remove restrictions on fast traveling from interiors (you will need to be careful not to break scripted encounters)
Allow Weapon Hotkeys While Firing - allow weapon switch hotkeys while firing
Auto Weapon No Firing Delay - allow tap-firing automatic weapons even if they haven't finished their current firing animation
Character Melee Damage Ignores Scale - prevent NPC and player height affecting their melee damage
Clip Size Matters - prevent firing weapons if you don't have enough ammo for one burst
Compass Hide Enemies - remove enemies from the compass (optionally show them if they're firing a weapon)
Constant Purified Water Price - make purified water always sell for its value
Crippled Legs Prevent Fast Travel - prevent fast travel if a leg is crippled
Crippled Legs Scale Jump Height - scale jump height when legs are crippled
Custom Armor Condition Penalty - modify the dt/dr penalty for damaged armor
Custom Buy/Sell Scale Per Category - allow customization of buy/sell multipliers for each type of item (weapons/armors/aid/misc)
Custom Crafted Item Health Percentage - configure the health percent of crafted items (default is 80%)
Custom Num SPECIAL Points - set a custom number of special points to allocate in the vigor tester/special book (TTW)
Custom Perks Per Level - set number of perks to earn per level
Custom Skill Points Formula - modify the base skill points earned and points per intelligence on level-up
Custom iMaxCharacterLevel - set a max player level independent of the number of DLC loaded
Debug Lockpick Menu - show the debug lockpicks menu on all locks (cheat)
Difficulty Doesnt Affect NPC-NPC Damage - scale NPC-NPC damage independently from the fDiffMultHPByPC gamesettings
Disable Fast Travel - prevent fast travel
Don't Allow Selling Items - remove the ability to sell items in the barter menu
Drowning Drains Action Points - drain action points before taking damage when drowning
Encumbrance Includes Grabbed Items - include the weight of the grabbed ('Z' key) item stack for determining if player is over-encumbered
Equip Broken Items - allow broken armor and weapons to be equipped
Explosion Knockdown Avoidance Chance Uses Strength - check strength instead of agility when calculating knockdown avoidance chance
Explosion Radius Buff - make inner 30% of explosion radius deal full damage and cap minimum damage at radius to 20%
Explosions Don't Push Collectible Objects - prevent explosions moving items if they can be taken
Fast Travel Doesn't Progress Time - don't progress time or hardcore needs when fast-traveling
Fast Travel Over-encumbered - remove the need for "Long Haul" to fast travel while over-encumbered
Fast Travel While Enemies Are Nearby - allow fast travel while enemies are nearby
Force Lockpick Breaks Pin Instead of Lock - failing to force a lock breaks the bobby pin instead of the lock
Free Wild Wasteland - allow selecting wild wasteland without using a trait slot
Grabbing Items Is A Crime - make grabbing items carry the same penalty as stealing
Ignore Lock Level - allow picking locks of any skill level
Ignore Terminal Lock Level - allow hacking terminals of any level
Independent Hardcore Features - enable toggling of ammo weight, sleep healing and hired companions being essential independently of the hardcore mode
Keep Broken Items Equipped - don't unequip or show a message for items when they break
Light Step Affects Companions - make player light step affect companions
Locational Melee Damage - use body part damage multipliers for melee and unarmed hits
Lockpick Show Key Name - add the name of the required key to the end of the sImpossibleLock message. Note that some vanilla keys are named "Key"
Loot Unconscious NPCs - allow looting of knocked down NPCs
Luck Doesn't Affect Gambling - remove the luck skill's effect on gambling (equivalent to a luck of 5)
Meltdown Affects Teammate Kills - teammate kills will have the meltdown effect if the player has Meltdown
Move While Pipboy Opens - allow movement while the PipBoy is opening
NPCs Can Disarm Player - allow NPCs to disarm the player in combat
NPCs Can Sneak Attack Critical - allow NPCs to land sneak attack critical hits on each other and the player
NPCs Hear Mines Explode - make NPCs react to mine explosions
No Ammo From Taking NPC Weapons - prevents earning additional ammo when taking an NPCs weapon
No Casino Bans - prevent bans in casinos
No Companion Kill XP - prevent companion damage to NPCs counting towards gaining XP
No Disarm Companions - prevent companions being disarmed in combat
No Exit Hacking - prevent exiting the hacking menu if you have made an attempt (anti-cheat)
No Free Barter Items - set a minimum cost for buying free items (e.g. ammo casings)
No Grabbing Owned Items - remove the ability to grab owned items
No Lock Encounter Zone Levels - don't freeze the level of encounter zones when they are first visited
No Lock Failed Terminals - don't lock terminals when they are failed
No Max Casino Bet - remove the betting limit for slots, roulette and blackjack
No Melee Weapon Damage If Target Dead - don't decrease weapon condition when hitting dead NPCs
No NPCs On Compass Unless In [Danger] - hide all NPCs on the compass if you aren't in [Danger]
No PipBoy In Combat - stop the player using the pipboy when in combat
No Player Stagger Anims - prevents the player staggering when crippled
No Recurring Challenges - prevent recurring challenges resetting when completed
No Scale NPC Armor DR/DT By Condition - don't scale NPC armor damage threshold or damage resistance based on condition
No Scale NPC Weapon Damage By Condition - don't scale damage from NPCs based on their weapon condition
No Self Explosion Damage - prevent player explosives injuring the player (B42 QuickThrow is not compatible as it doesn't mark the player as the attacker)
No Sneak Attack Criticals - remove sneak attack criticals
No Stealing After Repair - place caps in merchant containers instead of their inventory when using repair services
No VATS Target Invisible - disable targeting of cloaked enemies in VATS
No Weapon Condition Damage Penalty - make weapons always deal their max damage regardless of their condition
No Weapon Movement Penalty - remove the movement penalty for having a weapon out
Non-Melee Damage Ignores Scale - prevent NPC and player scale affecting non-melee damage
Open Pipboy And Use Weapon Hotkeys While Reloading - allow opening PipBoy and use of weapon hotkeys while a reload animation plays
Pickpocket Worn Items - allow pickpocketing items NPCs are wearing
Player Melee Damage Ignores Scale - prevent the player’s height affecting melee damage
Player Melee Distance Scaling - scale the reach of all melee weapons
Power Armor Scales Limb Damage - scale limb damage for hits on power armor
Power Attack While Overencumbered - allow melee power attacks while overencumbered
Prevent Hitting Holstered Weapons - make projectiles pass through NPC holstered weapons
Prevent Repair If Not At Workbench - prevent repairing if not looking at a workbench
Reload Jams Affected By Agility - scale reload jam speed by reload speed multipliers
Reload While Firing - allow reloading while firing animations play
Remove Landing Anim - remove the animation when the player lands a jump
Remove Weapon Damage Buffer - weapon damage decreases for weapons above 75% condition
Repair Scales Crafting Condition - scale crafted item health by repair skill
Scale AP Regen While Overencumbered - add a scale to AP regeneration while overencumbered
Scale Critical Damage - apply a scale on critical hit damage (after perk modifiers)
Scale Earned XP - scale all earned XP
Sit to Wait - make the player only able to wait while sitting down
Skill Level Matched Weapon Repairs - disallow repairing a weapon if your repair skill is less than the weapon's skill requirement
Skip Very Easy Locks At Max Skill - automatically open very easy locks if at max lockpick
Sleep In Owned Beds - allow sleeping in owned beds
Sleep Wait Anywhere - add options for allowing waiting in combat, midair etc.
Slower Backpedaling - scale movement speed while strafing or walking backwards
Sneak Attack Criticals Only For Melee Weapons/Throwables - disable sneak attack criticals for non-melee weapons
Sneak Attack Criticals Require Headshots - only earn sneak attack criticals for headshots
Sneak Attack While Standing - allow sneak attack criticals while standing
Sneaking Doesn't Force Power Attacks - allow non-power attacks while sneaking
SpeedMult Scales Jump Height - scale actor jump heights by their speed multiplier Actor Value
VATS Max Distance Uses Weapon Max Range - allow VATS targeting from a larger distance with snipers than pistols
Weightless Aid Items In Non-Hardcore - make aid items weightless while not in hardcore
Weightless Items - make all Weapons, Armor, Aid, Misc or Ammo items weightless
Weightless Worn Armor - make armor weightless while it is worn
Misc Tweaks
Allow Duplicate Control Binds - allow binding multiple controls to the same key
Allow Take All In Companion Containers - show the 'Take All' button in companion inventories
Alternate Level-up Sounds - play different level-up sounds every A or B levels (e.g. every 5 or 10 levels)
Auto Continue Game - automatically load the last save when starting the game
Auto SetConsoleOutputFile - automatically call SetConsoleOutputFile after plugins are loaded
Blood Splatter Minimum Damage Threshold - only show blood splatters above a minimum health damage threshold
Bloody Mess Only Gibs Targeted Limb - prevent arms, legs or head being dismembered when shooting an NPC's torso
Compress Duplicate Console Prints - print the count beside duplicate consecutive single console lines
Console Print Timestamps - add the current time to each line in the console
Container Store All Hotkey - holding shift stores items instead of taking items in containers
Container Take All Confirmation Prompt - adds a confirmation prompt if taking more than 10 items (configurable)
Continuous Jumping - holding the jump key will repeatedly jump
Crippled Limbs Play Pain Sound When Landing - play the pain sound when landing with crippled limbs
Crit Chance Ignores Firerate - don't divide automatic weapon crit chance by their fire rate
Custom Close Terminal Fade Time - adjust the time the terminal menu fades for when closed with keyboard/controller
Custom Hotkeys - reassign Console, Screenshot, PipBoy F1/F2/F3 menu and VATS accept keys
Custom Subtitle Distance - show general subtitles from further away
Detached Beams - prevent beam projectiles sticking to the weapon barrel when turning
Dialog Press To Continue - stop Actors automatically advancing between lines in conversations (giving time to read what they are saying)
Disable Achievements - prevents earning of Steam/GOG achievements
Disable Border Regions and Show Message - allow leaving the world borders, showing a repeated warning while outside
Disable Character Respec - disable the character recreation popup script that occurs when leaving Goodsprings
Disable Combat Music - prevent combat music
Disable Godmode On Load - disable godmode when loading/reloading a save
Disable Hit Shader - disable the HUD radial blur when damaged (optionally only when in god-mode)
Disable Holstered Weapon Zooming - prevent zooming in when aiming with a weapon holstered
Disable Knockdown In Godmode - prevent the player being knocked down while in god-mode (may break scripted events)
Disable Pipboy Idle (Sway) Anims - prevent idles playing while in the PipBoy (vanilla uses them for swaying)
Disable Weapon FOV - disable the zoom when aiming for all non-scoped weapons
Disable Weapon Hotkeys - ignore DPAD and 1-9 weapon keys outside the pipboy
Disarming Mines Picks Them Up - auto collect mines when disarming them
Don't Set Quest If Completing Objective With No Active Quest - stop the active quest being set if an objective was completed and no quest is active
Don't Set Quest When Gaining New Objectives - prevent the active quest getting set when new objectives are gained
Fallout 3 Audio Distortion - use audio distortion similar to Fallout 3 for NPCs wearing masks
Faster Controller POV Rotate - increase controller rotation speed (when POV is held)
Faster Enter Lockpick Menu - speed up the animation for entering the lockpick menu
Fatal Non-Sneak Crits Always Gib - make fatal (non-sneak attack) critical hits always explode or dismember limbs
First Person VATS - play VATS firing-camera shots in first person
Hip Fire VATS - hip fire in VATS if entered while not aiming
Hold Key To Show Wait Menu - make the sleep/wait menu require the key to be held rather than pressed
Hotkeying Equipped Items Holsters Them - pressing the hotkey for an item that's already equipped will holster it instead of unequip
Invert Camera X - invert the camera X movement
Invert Container Menu Scrollwheel Category Change - swap the direction of category change when scrolling on the title of a container category
Jumping Doesn't Drop Grabbed Item - prevent the grabbed item being immediately dropped when jumping
Keep Holotapes Playing When Selecting Other Notes - don't stop the current holotape when viewing text/picture notes
Less Frequent Player Combat Pain Sounds - add a minimum interval between player pain sounds
Level-Up Always Shows Perks - show the perk selection screen even if there are no points to assign
Louder Third Person Empty Clip Sounds - play the first person empty clip sound while in third person
Menu Fades Ignore Timescale - ignore timescale (turbo, bullet time etc.) when fading menus in/out
Midair Fast Travel - allow fast travel while in midair (does not negate fall damage)
More Frequent NPC Light Updates - decreases the time between NPC light detection updates
Movement Keys Cancel Each Other - make holding left+right or forward+backward not move the player
NPCs Drop Their Holstered Weapon On Death - make NPCs drop their equipped weapon on death even if it isn't out
No Alt Tab Pause - stop the game pause menu showing when the window loses focus
No Ammo Casings - stop ammo casings being earned when firing
No Audio Distortion - remove the audio distortion when NPCs are wearing masks
No Character Name Limit - remove the name length restriction when creating a character
No Chem Worn Off Effect - remove the chem worn off Imagespace Modifier
No Controller PipBoy Texture - don't use a different texture on the PipBoy when a controller is connected
No Despawn Visible Stuck Projectiles - prevent stuck projectiles despawning if you can see them
No Drop Weapon Sound On Player Death - prevent the 'clunk' of items being unequipped when dying
No Explosion In Face Blur - remove the radial blur when an explosion occurs nearby
No Killcam For Companion Kills - prevent the killcam showing for non-player kills
No Main Menu Exit Confirmation - remove the confirmation prompt when clicking quit game in the main menu
No Quest Added Sound When Killing in Cinematic Killcam - stops the cinematic killcam playing the 'Quest Added' sound when an actor is killed
No Scrollwheel POV Change - prevent the POV (1st/3rd person) changing when scrolling
No Skill Book Message If Increase Is Zero - prevent the 'Skill increased by ...' message if the skill didn't increase
No Turning Anim - prevent player turning anims to stop the glide when stopping while turning
Non-Toggle Sneak Button - make the sneak key held rather than toggled
NPCs Use High-Res Weapon Models - use 1st person (high-res) models for NPCs' weapons
Open PipBoy To Inventory By Default - make the PipBoy always open to the inventory page (F1/F2/F3 still navigate to their respective categories)
PipBoy Light and Weapon Holster Timers Ignore Timescale - make pipboy light and holstering hotkeys take the same time regardless of game speed
Pipboy Light Stays On After Cell Change - stop the PipBoy light being turned off when entering an exterior cell
Pipboy Tab Hotkeys Don't Close The Menu - prevent the pipboy tab hotkeys (F1/F2/F3 by default) closing the pipboy
Place Map Marker At Hovered Location - places map markers directly at the location if one is hovered
Pop-up Menus Don't Move Cursor - prevent pop-up menus moving the mouse to the center of the screen
Power Attack If Blocking - remove the melee power attack delay while blocking
Prevent Bush Passthrough Sounds - prevent the bush passthrough sounds
Prevent NPC Comments - prevent NPCs commenting on various player actions (e.g. knocking over items)
Qwertz Layout - swap the Y and Z keys in menus and console
Remove Controller Stick Deadzones - make the deadzones for controller thumbsticks customizable to allow finer movement
Remove Follower Topics - prevent companions mentioning when they are injured, low in ammo, crippled etc.
Rotate Further While Seated - allow seated rotation between -115° to 115° (from vanilla -90° to 90°) in first person, and 360° in third person
Run And Gun Mult In Combat Only - only use the fActionPointsRunAndGunMult gamesetting when in combat
Saving Doesn't Close Pause Menu - keep the pause menu open after saving
Scale Explosion Shake - scale the hud and camera shake caused by explosions
Scroll Only Changes Camera Height If POV Held - mousewheel only changes camera height if the 'Change View' key is held
Separate Scope Zoom Speed - allow a custom zoom speed for scopes (vanilla changes would affect weapons without scopes too)
Shift VATS Ignores Friendly NPCS - opening VATS while holding shift doesn't target friendly NPCs
Signal Strength Affects Radio Song Volume - make songs quieter when static is playing near the edge of a radio's range
Silent Sneak Power Attacks - prevent player shouting during power attacks if sneaking
Skill Book Saver - prevent usage of skill books if the skill is already at 100 points
Skip Vigor Tester SPECIAL Pages - skip to the vigor tester review page to assign points
Sneak While Equipping Weapons - allow toggling sneak mode while (un)equipping a weapon
Splash Damage Affects Bloody Mess Gibbing - give projectile splash damage a chance to trigger bloody mess torso explosions
Swap Ammo With Weapon Holstered - allow swapping ammo types while weapon is holstered
Take All Doesn't Close Container Menu - keep container menu open after using take/store all
Timescale Affects Reload Sounds - scale reload sound pitch and length with timescale
UK Keyboard - use the UK keyboard layout in console and menus
Unspoken NPC Indicator - add a * to the prompt for NPCs who haven't been spoken to
Use Aid At Max Health - allow using stimpaks and doctors bags at max health
VATS Stop Burst If Target Dead - stop firing the current burst when the target dies in VATS
Visible Weapon During Dialogue - keep player weapon visible during dialogue
Weapon Impact Effects - spawn sparks and play impact sounds when equipped/holstered weapons are hit
XP Sound For Minigames At Max Level - play XP sounds when hacking or lockpicking at max XP
Optional Bugfixes
Don't Allow Console Till Init Is Done - prevent opening the console until settings have been loaded
Enhanced Camera Ground Sink Fix - fix a bug with Enhanced Camera where the player would sink into the ground when switching from 1st to 3rd person
Explosion Knockback Direction Fix - push actors away from explosions instead of who created the explosion
Fix Kill Challenge Source Weapon - use the last weapon that damaged an NPC instead of the currently equipped weapon for kill challenges
Inactive Window Scroll Fix - prevent scroll-wheel affecting windows outside NV
Keep XP Bar Visible When Closing Menus - fix an oversight where the XP bar would disappear when closing menus
Lethal Hits Increase Limb Challenges - increase limb cripple/knockback challenges even if the attack killed the target
Sort Unavailable Radios To Bottom - move unavailable radios to the bottom of the radios list
Spin Weapons Sound Fix - fix a vanilla bug where weapons with looping sounds stop playing their fire sound
Ultra-wide Black Rectangle, and Zoomed Menus/Scope Fix - fix bugs with 21:9+ resolutions where the fade-to-black effect would not cover the whole screen, and scopes/lockpick/terminals were zoomed in too far

Part 3: Survival

After tweaking the game to your liking and determining your character’s origins, it is now time to survive the harsh wastes. A number of mods have made this game much more challenging, but also fair. Unless you are constantly mashing your sprint key, hydration should last you up to 3 days before becoming critically important. In addition, you should be able to last without food for several days without noticing any effects. As for sleep, you can go upwards of a month without it. That being said, your needs still do matter and they will creep up on you before you know it. This is why knowing how to provide for yourself in the harsh wastes is important

Shelter

While the conditions of the Mojave will not make you sick or otherwise harm you (Besides for your Thirst, Hunger, & Sleep), finding shelter is still important for a multitude of reasons.

1.) Your carry weight has been significantly reduced. Finding a place to rest your head and store your gear, whether it be in a tent, mobile RV, or one of the many player homes throughout the wastes is important

2.) Many player homes throughout the wastes host crafting stations for armor and weapon repairs, chem crafting, food preparation, and purification of water. These are all important processes to make sure you are prepared for your journeys.

3.) Healing and assessing player condition is important. The wasteland has been beefed up with many more spawns and much more dangerous enemies. It is best to retreat to your home and find out how to best recover rather than sitting in the middle of the wastes where any manner of man or beast could attack.

We will live it to you to find these player homes on your adventures

Human: Hardcore Needs

Like I said, it may be easy to forget you need to sleep and eat, but hydration is the most rapidly changing stat depending on your movement, the temperature, carry weight/armor weight, and time. While all normal methods of water drinking are still in game, bottling water is one that is new. To do this…

1.) Have an empty water bottle or canteen in your inventory

2.) Approach any source of water whilst crouched

3.) Press your activation key as if you were going to drink from it. The appropriate water will then collect in any and all empty water receptacles on your person

While I will not post every value below, understand that drinking anything other than water such as alcohol and soda will only serve to dehydrate you even more. This also applies to dry foods and other foods. Make sure to read every consumables description before consuming it.

As for sleeping and eating, these are self explanatory. Make sure to watch your meters in your pip-boy and sleep/eat when you begin to feel hungry. All three of these stats will produce negative modifiers once they reach a certain threshold, so making sure your character is healthy will ensure you do not become over encumbered or worse.

Part 4: Medical System

Healing is the essence of life in any Fallout game, but healing has been completely revamped in this mod. New healing items have replaced others, new sickness and diseases have been added, and food/water no longer heals health as it used to. Even worrying about light, moderate, and severe bleeding will be a part of your everyday struggle as you fight through the wastes. Below are all the items you will need to prepare yourself for this/what they do.

Tweaked Healing Items

Blood Pack: Restores 36 health over 12 seconds, damages rads by 24 over 12 seconds, is now marked as medicine to benefit from the medicine skill, and it returns an Empty Blood Pack.
Doctor's Bag: Buffed to restore 54 limb health over 54-18 seconds, and reduces Agility for 54-36 seconds. Fast metabolism grants faster limb healing, but no bonus to healed limb condition.
Auto-Inject Stimpak: Now the Combat Ultra-Stim.

Restores 20 health and 50 sleep deprivation immediately, increases health by 20, Agility and Perception by 1, AP regen by 25%, and attack/movement speed by 10% for 120 seconds, but it reduces your sleep deprivation by 1 each second, for 175 seconds.

Carries the same withdrawal as the Combat Stim, at about twice the likelihood.

Can be diluted into 3 regular Combat Stims, or condensed from 3 Combat Stims and an Empty Syringe.

Has an option for distribution throughout the wastes. Unlike the other items, this setting can be set to 0 and turned off, leaving the stim only in LR locations.

Auto-Inject Super Stimpak: Now the Ultra-Stimpak:

Buffed to restore twice as much health as the Super Stimpak and increase health by 50 for two minutes, after which your health is reduced by 30 for an additional minute. It also carries a moderate food/hydration penalty, as well as a short sleep deprivation restoration, but a much steeper sleep deprivation penalty over time, all of which take place over 4/5 seconds.

Crafting recipe requires a Super Stimpak, Stimpak, Leather Belt, and an Antivenom.

New Healing Items

Basic Bandage: Heals 15 health over 15 seconds. Heals 10 bonus health over 10 seconds if you're not in combat. Basic, but it won't count toward Overdose, and it's light and relatively easy to find. Bandages will stop BLEED's bleeding effect if you're afflicted by it.
Military Bandage: Heals 25 health over 25 seconds, but it reduces Agility by 1 while it heals. Heals 10 bonus health over 10 seconds if you're not in combat.

Rarer, but better Bandage. Comes with an Agility penalty to account for it's better healing.

Antiseptic: Grants 10% bonus healing for 45 seconds.

It's more for use in Medkit crafting recipes than individual use. It will apply to food healing.

Improvised Hemostatic Pill: Grants 25% reduced limb damage for 240 seconds.

Survival 20 or Medicine 20 for visibility + 20 Science to craft.

Requires: Tin Can, Buffout, Healing Powder, Purified Water.

Recipe grants 6 pills. Marked as a food item, so it scales with Survival.

Solvitol (Painkillers):**Provides +12% DR for 200 seconds, damages dehydration by 15.

Commonly used for Improvised and Survival Medkits. Has no addiction, but it will increase the likelihood of a Med-X addiction if you take it while on

Solvitol. Does not stack with Med-X.

Splint: Grants a small amount of limb healing.
Army Morphine Syrette: Grants 90 seconds of ignored crippled limbs, reduces strength for 120-90 seconds.

Medicine 25 for visibility + 30 Medicine to craft.

Requires: Empty Syringe, Med-X, Surgical Tubing, Purified Water.

Weaker version of Med-X, with a lower addiction chance than Med-X in my Ingestibles mod. Valuable for their weight in resale.

Combat Stim: Increases AP by 20, Agility by 1, +25% AP regen, and +10% movement speed for 120 seconds, but it increases your sleep deprivation by 55.

Pretty useful. Has a low addiction chance, and a relatively low addiction penalty.

Improvised Medkit: Restores 12 health over 4-5 seconds, restores 15 limb health over 5-3 seconds, and reduces Endurance and Strength for 45-30 seconds.

Survival 15/Medicine 20 for visibility + Survival 20 to craft.

Requires: Tin Can, Solvitol, Purified Water, Empty Syringe, Lunchbox, Antiseptic. It's not very strong, but it's a relatively cheap way to get your limbs off of crippled for a short time, and it's relatively easy to craft. Marked as a food item, so it benefits from the Survival skill.

Survival Medkit: Restores 24 health over 8-6 seconds, restores 25-30 limb health over 5-6 seconds, reduces limb damage by 25% for 2 minutes, and reduces Endurance and Strength for 45-30 seconds.

Survival 30/Medicine 20 for visibility + Survival 35 to craft.

Requires: Tin Can, Solvitol x2, Purified Water, Empty Syringe, Lunchbox, Improvised Hemostatic Pill x2.

A moderate improvement on the Improvised Medkit for Survival players. Also marked as a food item.

Small Medkit: Restores 24 health over 4-5 seconds, restores 30 limb health over 10-3 seconds, and reduces Endurance for 40-30 seconds.

Medicine 25 for visibility + Medicine 25 to craft.

Requires: Stimpak, Bandage, Antiseptic, Scalpel.

Not as much direct healing as just using the healing ingredients on their own, but having them all together along with the scalpel, grants you some moderate limb healing.

Army Medkit: Restores 30-36 health over 5-6 seconds, restores 60 limb health over 10-6 seconds, grants +5 DR for 25-30 seconds, lets you ignore crippled limbs for 60 seconds, and reduces Endurance for 50 seconds.

Medicine 30 for visibility + Medicine 35 to craft.

Requires: Stimpak, Military Bandage, Antiseptic, Scalpel, Splint, Army Morphine Syrettes.

Moderate improvement to healing, substantial improvement to limb healing over the Small Medkit, grants DR and the Med-X effect, but it requires more items, and the Splint means that the Endurance penalty doesn't get reduced by Fast Metabolism.

Scientific Medkit: Restores 48 health over 12-8 seconds, restores 40 limb health over 20-10 seconds, reduces rads by 30 over 6-5 seconds, and reduces Endurance for 50-40 seconds.

Medicine 40/Science 35 for visibility + Medicine 45 to craft.

Requires: Stimpak, Bandage x2, Antiseptic, Scalpel, RadAway.

More health restoration than the Army Medkit, and it's Endurance penalty is reduced by Fast Metabolism, but the healing is slow, because it uses two bandages.

Field Medkit: Restores 65 health over 13-5 seconds, restores 60 limb health over 10-6 seconds, grants +5 DR for 30 seconds, lets you ignore crippled limbs for 60 seconds, reduces rads by 36-42 over 6-7 seconds, and reduces Endurance for 75 seconds.

Medicine 50/Science 35 for visibility + Medicine 55 to craft.

Requires: Stimpak x2, Bandage, Antiseptic, Scalpel, RadAway, Preserved Blood Pack, Army Morphine Syrettes, Splint.

Expensive to craft, expensive to buy, but it'll solve all your problems at once, and grants a small statistical bonus to each factor for having them all in such an expensive package.

Blood Draw Kit: Damages health by 36, reduces Endurance for 3 minutes, and it damages your FOD and H2O by 55, but it grants a Blood Pack, an Empty Syringe, and a Scissors.

Medicine 25 for visibility + Medicine 35 to craft, while holding an empty blood pack.

Requires: Empty Syringe, Surgical Tubing, Scissors, Empty Blood Pack.

Provides the same amount of health damage as a blood pack returns

Preserved Blood Draw Kit: Medicine 40 for visibility + Medicine 35 to craft, while holding an Empty Blood Pack.

Requires an extra Rad-X on top of the regular Blood Draw Kit.

Just as easy to craft, if you know that you can use a Rad-X for preservation.

Grants a Preserved Blood Pack.

Preserved Blood Pack: Doesn't deal any rad damage, making it a solid healing item & scales with medicine

Disease

How to Get Rid of Disease

Yes disease exists as it should in the post-apocalyptic Mojave/Capital Wasteland. All diseases will eventually fade away, but the player may take Immuno-boosters*(found only) to rid themselves quicker