- New Main Quest: Uncover the secrets of West Virginia by playing through an all-new main quest, starting from the moment you leave Vault 76.
- Human NPCs: Befriend or betray new neighbors who have come to rebuild, and experience Appalachia through the eyes of its residents.
- New Creatures and Gear: Take down newly mutated creatures finding their way to the region and earn the highest tier of weapons and armor.
- Choices and Reputation: Alter the fates of those you meet with dialogue trees. Decisions affect your standing with each faction through an all-new reputation system.
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