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This is an overview article which contains background information and cross-game comparisons. For game-specific information and stats, see the articles linked on the right.
Gameplay articles
Fallout 3Med-X
Fallout: New VegasMed-X
Fallout 4Med-X
Fallout 76Med-X
Fallout: New CaliforniaMed-X

Med-X is a chem that appears in Fallout 3, Fallout: New Vegas, Fallout 4, Fallout 76, and Fallout: The Board Game.


Med-X is a potent opiate analgesic that binds to opioid receptors in the brain and central nervous system, reducing the perception of pain as well as the emotional response to pain. Essentially, it is a painkiller delivered by a hypodermic needle. According to the Powder Ganger, Boxcars, five hits of Med-X is enough for a man to "put himself out of his misery," though he also claims that if the Courier wanted him dead, fifteen doses of Med-X would make him overdose. With enough Medicine skill when talking with Joana, it is revealed that Med-X addiction includes such symptoms as contracted pupils and involuntary spasms.



FO3 Med-X

Med-X is a potent pain killer that can often be found in first aid boxes or abandoned medical facilities. This chem will increase damage resistance by 25%, but it also carries a 10% addiction rate, and withdrawal results in a -1 penalty to Agility and Intelligence.

Behind the scenesEdit

Med-X was originally to be named morphine in Fallout 3, but this resulted in the Australian Classification Board refusing its classification and thereby making it illegal to distribute the game in Australia.[1] The game was later censored to remove all real-world drug references including changing morphine to Med-X in order for the game to be allowed in Australia.[2] This censorship was to become part of the worldwide release.[3]


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