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A relatively unremarkable lookout tower. At the top of the tower is the corpse of a civilian who is surrounded by toys - wooden blocks, a toy alien, toy car, and toy truck. These toys combined with the small baby bottle and baby rattle lie next to a clean mattress suggest that a child once lived here. There is a locked footlocker (Picklock 0) in the corner of the room.
A ranger outfit sits on some crates on the outside of the tower as well as a map of the surrounding region.
The East Kanawha lookout appears only in Fallout 76.