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What are we doing here? We're not going to find a doctor on call at this hour, trust me.Dean Domino

The medical district is a location in the Sierra Madre in 2281.


The medical district is an area in the western part of the Villa. It contains numerous traps and ghost people. The Courier must come this way to reach the Villa clinic, which is clearly marked with a neon sign.

Traps & speaker locations

The medical district introduces speakers for the first time, and features three speakers that cause the Courier's collar to beep, and eventually explode if one does not retreat from the speaker's vicinity within 10 seconds.

  • The first such speaker is straight ahead from the entrance, just past the first archway. There is a graffiti warning painted on the wall below it.
  • The second speaker is north of the second courtyard, through the archway with "Boom" painted on it in red. It is high on the wall above the arch, above the dilapidated wooden walkway, such that when emerging from the arch the Courier would need to turn around and look up to spot it.
  • A third speaker is most easily found by exiting the Villa clinic on the second floor. The speaker is across the courtyard, on the wall near the damaged building entrance.

Notable loot

  • Two Lover's Mark stashes - On the west side of the medical district, both most easily reached by exiting the clinic by the second floor.
  • Dean's Secret Stash - One is located in the north part of the map, on a roof; another one is in the Villa clinic ground floor.
  • 6 of Diamonds - Sierra Madre - Facing Villa clinic entrance, turn right and enter the building. Up the stairs and to the left, the card is on the shelf.
  • King of Clubs - Sierra Madre - From the room with 6 of Diamonds card, go through a hole in the wall, across the arch, and through another hole, the card is on the right, on a table.
  • 7 of Clubs - Sierra Madre - In the gift shop, entered from the courtyard behind the Villa clinic or the medical district rooftops, on the chair.
  • 9 of Diamonds - Sierra Madre - Enter the door in the northeast area of the map with cloud, run upstairs, and out the doorway (also exiting the cloud). The card is on the table in the next room.

Related quests


The Medical District appears only in the Fallout: New Vegas add-on Dead Money.


  • PCPC Xbox 360Xbox 360 The 9 of Diamonds - Sierra Madre is located underneath a book on the table, picking up the book can result in the card clipping into the table.[verified]
    • This can be fixed by reloading a previous save.
    • On PC, this can be fixed opening the command console and entering tcl, allowing for one to clip through the table and picking up the card.
    • Even though it is finicky, the card can be interacted with while it is located underneath the book.