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Betsy may refer to:
- Betsy (Fallout: New Vegas), an NCR 1st Recon sniper stationed at Camp McCarran in Fallout: New Vegas.
- Betsy the Brahmin, a unique brahmin in the Mojave Wasteland, cut from Fallout: New Vegas.
- Betsy Bright, a student at American High before the Great War, mentioned in the Fallout: New Vegas add-on Old World Blues.
- Betsy Spinelli, a programmer for RobCo Industries before the Great War, mentioned in Fallout 76.
- Betsy (Fallout Tactics), a multiplayer character and playable brahmin in Fallout Tactics.
- Holotapes and notes: