A trail leads down to the cemetery from behind the stage in the northeastern part of Lewisburg. The graveyard is divided into three descending levels. Many of the graves have a personal item, such as a mining helmet, next to them, or are adorned with carrot flowers. There are also multiple safes here, two of which can be unlocked with a Picklock level of 3. Some are already opened, indicating a history of grave-robbing alongside some other dug-up coffins. There is a small mausoleum on the bottom terrace with another coffin and an explosives crate inside.
- Random magazine - Inside the mausoleum, on top of an opened stone coffin with a safe inside of it.
- Random armor mod - On top of an open grave with a coffin near the cemetery's entrance.
Pleasant Hills Cemetery appears only in Fallout 76.