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Dirty water pools at the base of the tower that looks out over the Mire to the east. There is a locked explosives crate at the base of the tower. Strangler vines wind their way up the staircase and have all but taken over the sparsely furnished room at the top. The top of the tower contains two skeletons - one fallen off his chair in death and one on the walkway outside. A ham radio and first aid box sit on separate tables on opposite corners of the room.
A pair of binoculars can be found on the floor at the top of the tower.
East Ridge lookout appears only in Fallout 76.