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The Milton General Hospital is a location in the Commonwealth in 2287.[1] If the quest The Silver Shroud is active, this is where Sinjin and Kent Connolly are located.


Entering the hospital places the Sole Survivor inside the main lobby. To the right and back is a door leading to a women's restroom. The last stall in the women's restroom has a hole leading to the men's restroom where two first aid kits can be found.

In the lobby, there is another door to the left side of the entrance. Inside the door is the main elevator room with a collapsed ceiling, exposing the second floor. There is one working elevator to the right and one room with some minor loot.

The elevator takes one down a level into a hallway with an Advanced locked door to the right and a staircase down to the left. In the locked room, there is an Expert-locked safe and a tool case. Following the hallway leads to a room with a morgue on the right. At the top of the stairs and to the left is a broken terminal with a Nuka-Cola Quantum behind it. To the right are some stairs and an elevator.

This elevator leads to the 3rd floor. Past the broken elevators, there are rooms to the left and right. The right side room has a hole in the wall which leads to a room with a collapsed floor. Jump down to the floor below and exit this room into a hallway. In the hallway there are two rooms on the left and one room on the right with an Advanced-locked door. Inside this room is a short syringer, a first aid kit and a chemistry station.

Progressing forward, there will be a door on the left which leads to the elevator room with the collapsed floor, acting as a shortcut for exiting the building and an opening to the right leading to a hallway that opens into a room with the elevator that leads to the basement and possibly the encounter with Sinjin and his raider gang.

Notable lootEdit

  • Overdue book – first floor, on a small table next to the reception desk.
  • Syringer – in the operating theater, in an Advanced-locked room (there will be two turrets in the hallway where the door is). There is a trap activated by a platform right at the entrance to this room.
  • The building contains a disproportionally large number of Nuka-Cola vending machines that regularly respawn their contents, making it a good source of all Nuka-Cola flavors available in the Commonwealth.


  • If the player character uses fast travel to arrive at this set location, it is possible to be killed as soon as the game loads when at a lower level. The fast travel marker is situated in between three separate super mutant suiciders.
  • Bunker Hill traders like Cricket often pass by the hospital and the nearby Fallon's department store where they will invariably attract the resident super mutants' attention, especially the aforementioned suiciders, resulting in a firefight.
  • If Vault-Tec Workshop is installed, a manhole on the street outside of the hospital can be used as an alternate entrance to Vault 88.
  • Occasionally, when the player character is near the area, a suspense sound will play at random moments.
  • When the building is explored for the first time, the opposition consists of a decent number of medical protectrons and Nurse Handies, some of which may be non-hostile. The robots are replaced with a raider gang under Sinjin's command during The Silver Shroud and thereafter.


The Milton General Hospital only appears in Fallout 4.


PCIcon pc While traveling through the hospital with Piper, other companions' flavor dialogue will be played instead of Piper's.[verified]



  1. Fallout 4 Vault Dweller's Survival Guide p. 376:"Historically, this hospital survived on donations from local churches and city funds until the invention of automated surgery. This hospital saw record earnings by employing a staff of Nurse Handys and Doctor Handy, MD, models and had a strong legal team to cover up any lawsuits. Then the bombs dropped."
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