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Betsy may refer to:
- Betsy (Fallout: New Vegas), an NCR 1st Recon sniper positioned at Camp McCarran in Fallout: New Vegas.
- Betsy Bright, a student of American High before the Great War in Fallout: New Vegas add-on Old World Blues.
- Betsy the Brahmin, a cut named brahmin in the Mojave Wasteland in Fallout: New Vegas.
- Betsy (Fallout Tactics), a Fallout Tactics multiplayer character that can be recruited for 564 game points in Fallout Tactics.
- Paper note:
- Betsy Bright's Disciplinary Record, a note in the Fallout: New Vegas add-on Old World Blues.