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Butch may refer to:
- Butch Harris, the owner of Far Go Traders in the Hub in Fallout.
- Butch, a deceased man whose grave can be found in Fallout 2.
- Butch DeLoria, the leader of the Tunnel Snakes gang and a resident of Vault 101 in Fallout 3.
- CG02Butch.txt, dialogue for Butch DeLoria during Growing Up Fast in Fallout 3.
- CG03Butch.txt, dialogue for Butch DeLoria during Future Imperfect in Fallout 3.
- CG04Butch.txt, dialogue for Butch DeLoria during Escape! in Fallout 3.
- Butch.txt, dialogue for Butch during Trouble on the Homefront in Fallout 3.
- Butch's Toothpick, a unique switchblade owned by Butch DeLoria in Fallout 3.
- Butch (Fallout 76), an enforcer for Duchess, mentioned only in Fallout 76.
- Butch Mariano, an NCR Lieutenant tasked with reconnaissance of Caesar's Legion in Van Buren.
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