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.
- Notice of expulsion - Note, in the back of the vehicle next to the red Zip car.
- Trappers' warning - Holotape, at the abandoned raider campsite northeast of the location, on top of a wooden crate under one of the makeshift awnings.
- Trappers note - Note, nailed to a wooden board at the abandoned raider campsite northeast of the location.
- 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.