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The AVR Medical Center is a location in the city of Charleston, West Virginia, in 2103.


This large and modern medical facility once served the people of Charleston both before and after the Great War. Before the war, the facility had an annual "happy hour" celebration notable for its rowdiness. One year the party got violent, and the staff had to heal themselves of injuries that were sustained. Its senior staff supervisor, Marvin Wexim, had to issue an internal mail warning against another round of violence.[1] These instances of employee immaturity were not isolated to the parties. Another employee, Jim, decided that since the hospital food was not up to his high standards, such imperfections gave him leeway to throw it back at the servers. Wexim had to weigh in here as well, initially wanting to not name any names, but eventually outing Jim in the span of a single message.[2] When the Sino-American War came to its conclusion and the hospital heard the reports of the nuclear weapons, Wexim issued an order to stay professional, as they would soon be flooded with new patients.[3] In the chaos, painkillers were stolen, prompting the staff to lock up the medical supplies to prevent further theft.[4]


Among these new patients seeking help were those who had mutated into ghouls, the hospital taking in hundreds of survivors. Some had lost their cognitive abilities; the medical staff were unsure if their condition was due to radiation affecting the brain or psychological collapse due to the horror of the war and its aftermath.[5] The facility was in continuous use until it was abandoned in the wake of the Christmas Flood in 2082. Over time, the hospital was picked apart thoroughly, leaving little in the way of supplies.[6]

Scorched PlagueEdit

When the Responders first encountered the Scorched Plague, they began to study its effects and how to counter both the plague itself and its infected.[7][8] To that end, they began a project to counter the spread of the disease, an inoculation project was led by their chief medical officer, Dr. Claire Hudson. Seeking a secure refuge to conduct the research, she set up her laboratory in the medical center basement in July 2096.

Although the facility had been picked apart by the scavengers it still had enough working medical equipment in the laboratory she found to make the inoculation feasible,[9] and in a month's time, she was able to get the equipment set up and began her work.[10] On August 12, Scorched invaded the hospital, mostly keeping to the first floor. The doctor hid from them for nine hours in a supply closet before they moved on.[11]

By September, the automation of the facility allowed her to make as much progress as an entire research team. Her breakthrough[12] in discovering that the secret to the Scorched vaccine lied in the blood (DNA) of wolves, feral ghouls and mole rats, the creatures that showed the most resistance to the plague. However, her efforts to synthesize antibodies were hampered when the Sympto-Matic machine blew a type-T fuse upon powering it on.[13] By the end of October, she could no longer continue to make progress as her supply runner Jeff Nakamura was continually out of contact.[14]

With the Fire Breathers going ahead with anti-Scorched operations without her vaccine, and her unable to progress further, she decided that she should automate the rest of the research. Should something happen to her, she wished for her project to continue.[14] In contact with the Responders over the radio, she became aware of the impending assault of the Scorched on Morgantown Airport.

Its fall inevitable, the Fire Breathers decimated, and unable to find a vaccine in time, she decided to head back to the airport to help the wounded in its last futile effort. She left behind a laboratory literally a push of a button and a few parts away from the vaccine.[15] The medical center would remain Scorched infested for the next few years.


The AVR medical center is a blue pre-War hospital with three floors, a basement, and a rooftop area, sitting on the western edge of Charleston. Scorched roam the halls and many first aid boxes can be found in the location.


There are three entrances to the building - to the east, north, and south. The eastern entrance has a medical supplies vending machine next to it and a limousine is parked on the road in front of it. The southern entry has a parking lot next to it and a fire escape which leads up to the roof. The roof itself contains a few tools but nothing much else of note. There is no entrance on the west side of the building but there is a small picnic area overlooking Poseidon Energy Plant WV-06 to the west.


All corridors lead to a large cafeteria in the middle of the building. It contains lots of seating, both in the form of dining booths and freestanding tables and chairs. There is a Port-A-Diner near a door on the north wall which leads back outside. A set of stairs by this door leads both up and down.

There is a large hole in the floor which looks down into the basement and an atrium above which provides a view of the second floor. Most of the doors on the second floor here are blocked off - the only accessible sections are an office and a storage closet.

The basement of the building can be accessed via a flight of stairs by the north wall of the cafeteria or by dropping through the hole in the floor. The basement contains two rooms - one with the hole in the roof and one next to it. The room with a hole in the roof contains three fusion generators. Only one is still operational and may contain a fusion core. A locked storage cage can be unlocked with a terminal (Hacker 1); it contains some tools and assorted junk.

The room next door contains a laboratory where Dr. Claire Hudson was conducting her research as part of the Inoculation Project. Her terminal sits on a desk. A fuse box on the wall requires a Type-T fuse to repair and two sympto-matic machines sit in the corner of the room. The laboratory also contains a chemistry station.

A set of stairs in the reception area by the east entrance lead to different parts of the second and third floor. The second floor here has an office that contains the Field report: AVR Medical holotape and a storage cage that contains medical supplies locked with a keypad with code 011986. The third floor contains more offices. The stolen supplies note can be found behind a desk on the east side of this floor.

Notable lootEdit

  • Field report: AVR Medical - Holotape, found in one of the offices (east side) on the 2nd floor.
  • Stolen supplies - Note, found on the third floor tucked inside a desk cubby. It will be above the locked room with the keypad.
  • Grafton Dam editorial
  • Four potential Vault-Tec bobbleheads:
    • On a lamp hanging from the ceiling with a skeleton on it. The bobblehead must be shot down to retrieve it.
    • On the second floor, in the southeast office, on a metal desk with a terminal. Same office as the stolen supplies note.
    • On the third floor, south side office accessed via a hole in the wall; in the northeast corner of the office, on a wooden and metal cabinet.
    • Near or on the terminal shell in the southwest corner of the upper lab room with the Chemistry Station in it, and the large hole in the floor.
  • Three potential magazines:
    • Through the south reception area, in the ruined office with the hole in the wall adjacent to the two booths, on the coffee table.
    • On the north side of the second level, overlooking the main entrance lobby, inside the office with the red sofa and two large mushroom lamps, on the desk by the door.
    • On the east side of the upper level, in the office with the hole in the floor with three dumped microfilm machines and a standing lamp on the balcony outside the office, on the desk with the ruined terminal farthest away from the door.
  • Fusion core - In the generator below the cafeteria.
  • Potential recipe - In the kitchen area, on a counter near a wall clock.

Related questEdit


The AVR Medical Center appears only in Fallout 76.

Behind the scenesEdit

50 Vault-Tec C.E.O.The following is based on unverified behind the scenes information and has not been confirmed by canon sources.

There is a stretcher in the building with a Jangles the Moon Monkey toy lying on it, and a toy alien on its face. This is a reference to the "facehuggers" from Alien, and Kane's death at the hands of them. The nearby bone cutter also references the way Ash tried to remove the beast, with corrosive results.

50 Vault-Tec C.E.O.End of information based on unverified behind the scenes information.



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