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Sure, you're still human - on the outside!

Ghoulish is a perk in Fallout 76.


Increased health regeneration the more irradiated you become.


Rank Description Form ID
1 Radiation now regenerates your lost Health. 0004D89E
2 Radiation now regenerates more of your lost Health. 00065E22
3 Radiation now regenerates even more of your lost Health! 00065E23
Nuclear Winter battle-royale Radiation now regenerates your lost Health. 00479B33


  • Adventure
    • Ghoulish 1 / 2 / 3 restores 0.5 / 1.0 / 1.5 HP for every 1 radiation damage acquired, respectively.
    • Synergizes extremely well with the perks Radicool, and Overly Generous. It also works well with the mutations Healing Factor, Adrenal Reaction, and, to a lesser degree, Unstable Isotope.
  • Nuclear Winter
    • Ghoulish restores 1.25 HP for every 1 radiation damage acquired.
  • Radiation resistance through Power Armor, Rad-X, etc will decrease the effectiveness of Ghoulish.
  • Ghoulish does not eliminate radiation damage. As radiation accumulates, available HP capacity will continue to decrease.
  • Conversion note: HP and radiation damage are not converted at a 1:1 ratio. It takes 5 radiation damage to consume 1 HP. In other words, with Ghoulish 2 in Adventure, 1 radiation damage would restore 5 HP.