Despite being "big-boned," Dusty is quite attractive. She'll serve up the finest hooch in the wasteland with a gleam in her eye and a mysterious brown stain in your glass. She loves a good time, but will whip out the ol' Dusty Trail should folks get out of line (Dusty Trail is a pump-action shotgun that she always keeps within arm's reach).
Dusty is best known for providing a certain type of entertainment: prostitution. She runs a "clean" business and asks her patrons to be nice to her girls and guys. If a customer will not comply, then she will introduce the offender to Beatrice, the large super mutant bouncer of Dusty's Desires.
Dusty gets plenty of hooch from the Crimson Caravan. Because of this, business has been very good. War makes people want to forget, and Dusty has plenty of booze and women to help the troops, and whoever else, forget about the hardships of war. Aside from buying booze and women, the player can rent out his services collecting unpaid tabs from some of the townsfolk. This won't win the player any popularity contests with the Downtown crowd, but it will get the player in good with Dusty and, more importantly, give the player a very good recommendation from Dusty to the Crimson Caravan. Plus, if the player is a bit of a tough-guy, there will be the occasion when a bar fight breaks out and the player can get the opportunity to help Beatrice settle things down, either physically or diplomatically, or to wait until the police arrive.
Lastly, Dusty is another potential distributor for smooch. Running smooch through Dusty is less dramatic than through Dr. Yuri, mostly because the junkies will be confined to the Downtown folks. If things go to shit down here because of smooch junkies, then Dodge and his men will declare martial law and overtake all operations in Downtown, including the maintenance of the machines. In addition, should the player choose Dusty as a distributor, then the player may not use Dr. Yuri as one and vice versa. Word gets around quickly and the folks at Hoover don't take too kindly to individuals playing both sides, even when illegal, or questionable, transactions are involved.
Dusty Heart has not appeared nor was she mentioned in any published game. She was to appear only in Van Buren, the canceled Fallout 3 by Black Isle Studios. It is not certain if she will appear in any future Fallout game.