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Hardcore mode is a new mode introduced in Fallout: New Vegas in response to complaints that Fallout 3 was too easy. It has a number of changes designed to bring some realism to the game.

Changes

  • Your character needs to eat, sleep and drink to stay alive, alert and healthy.
  • Stimpaks heal over time instead of instantly.
  • RADaway cures radiation over time instead of instantly.
  • Only doctors, Doctor's Bags, using the chem Hydra or sleeping in an owned bed will restore crippled limbs.
  • Doctor's Bags only heal limbs partially.
  • Ammo has weight.
  • Companions can die.