A natural landmark formed out of Tuscarora Sandstone endemic to West Virginia, the backbone sits just off Route 107 and was a popular hiking destination.
The formation is a landmark and an orientation point, with limited loot at the derelict camping spots below the flagpole, along the peak, and in the military graves near the pond by the bridge. The unmarked Trapper's camp is to the northeast of the location.
- Notice of expulsion - Note, in the back of the van next to the red Zip car, on the bridge near the fast travel point.
- Stealth Boy - On a cinderblock near the top of the cliff, next to a skeleton in a chair.
Devil's Backbone appears only in Fallout 76.