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For other characters named Alex, see Alex.
I'm always a sucker for a pretty face. What can I do for you, my fine dear?

Dr. Alex Richards[1] is NCR's primary medical director in Camp Forlorn Hope in 2281.


Once an idealistic citizen of the republic, Richards had a good life as a doctor in the core lands of the republic. His idealism drove him to join the NCR Army out of a sense of patriotic duty, to try and make the wasteland a better place. It worked for a while, as Richards was stationed near the dam during the First Battle of Hoover Dam and witnessed the brutality of the Legion, the carnage of the battle and the elation of victory.[2] He served in that battle as a medic and was present for some of the worst of the fighting and the gruesome aftermath it left behind. Richards considers himself and anyone else who was in that battle lucky to be alive, but nonetheless stayed on and continued to serve in the Mojave.

As events began shaping up for a Second Battle of Hoover Dam, Richards was stationed at Camp Forlorn Hope, the sole surgeon, doctor and medical expert of any kind at the camp's medical center. As the Legion captured the town of Nelson, immediately to the south, and put Camp Forlorn Hope under a grim state of siege, Richards quickly found himself overworked and his talents needed more and more often. Seeing men he managed to help and or even save from death go right back to the front lines, all too often to be injured again or killed wore away the last of Richards' idealistic motivation for joining the NCR Army, making him weary and demoralized. Richards never once discusses quitting, however, and works as hard as he can to deal with the casualties that are brought to his tent.

Since then, however, his enthusiasm for service and the grand democratic project of the republic have disappeared, replaced by weariness and exhaustion. Since he joined the garrison at Camp Forlorn Hope, the steady stream of wounded and maimed soldiers has numbed him to the point where he just wants to get home. But until he's discharged, he will keep fixing the soldiers up in the morning only to see them on his operating table in the afternoon. He will keep sewing them up, applying stimpaks, chopping of limbs and more, just to make it to the end of another day. [3]

Interactions with the player characterEdit

Interactions overviewEdit

This character is a doctor.
This character starts quests.
Perk empathy synthesizer
This character is involved in quests.



Apparel Weapon Other items On death
Wasteland surgeon outfit 9mm pistol 8 bottle caps


  • If one has the Confirmed Bachelor perk, Dr. Richards will address the player character as "little buttercup" and "[my] fine dear" while also saying, "I'm always a sucker for a pretty face" or exclaim that the room just got a little bit hotter when the Courier approaches, indicating that he is homosexual. This is confirmed if the player character has the Wild Wasteland perk, as a name in the credits reads, "Dr. Richards is a dude, and he likes dudes."
  • Killing Dr. Richards will result in failing both Medical Mystery and Restoring Hope, if they have not been completed.
  • Despite being a doctor in the NCR Army, Richards does not have a specified military rank in the game.


Dr. Alex Richards appears only in Fallout: New Vegas.


  1. First name given in the G.E.C.K. editor
  2. Alex Richards: "Quite a bit actually. I was stationed nearby during the first battle of Hoover Dam four years ago. I saw a lot of what happened firsthand."
    (Alex Richard's dialogue)
  3. Alex Richards: "I used to be a doctor back in California, but a few years back I got suckered into doing military work because it was my "patriotic duty.""
    "Back then, I, like many idealistic men before me, thought it was a great idea and was excited about making the world a better place with the NCR."
    "Now... I just want to get back home. I've had enough fighting and fixing up soldiers just to send them right back out to die to last a lifetime."
    (Alex Richard's dialogue)
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