Fallout 4 change character appearance

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However, there are some character builds that can give players a chance at surviving Fallout 4 in this challenging mode.

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It also makes everything more realistic in terms of ammo having weight, being over-encumbered causing health problems, and wellness being something to maintain with sleep, food, water, and medicine to name a few changes.

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The game ramps up the damage and health of enemies while decreasing your own effectiveness in combat.