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Originally developed by the United States military to increase soldiers' combat effectiveness, Psycho grants the user increased Damage output and Damage Resistance for a limited period of time.— Loading screen hint

Psycho is a consumable item in Fallout 4.


Psycho is a powerful drug created by the U.S. Army in an attempt to enhance the effectiveness of its infantry. Most details of the drug's development are unknown, including the specific techniques used in clinical trials and the degree of consent provided by military personnel who participated in the testing.

Although the US Army no longer exists in the Fallout 4 era, Psycho still sees prolific use throughout the wasteland and easily produced with the aid of the post-War hubflower plant. Raiders commonly produce Psycho due to its abilities to stimulate aggression, ignore pain and its intoxicating effects. This is not to say that the drug doesn't see recreational use as well.


Psycho has the looks of a large syringe. It has canisters strapped on either side of the syringe with an attached needle, with wires running to the top and needle end of the syringe.

Psycho has the effect of giving damage resistance and a damage boost, essentially giving it the same capabilities as Slasher from Fallout: New Vegas. The withdrawal effects, if one gets addicted, makes them take more damage. Additionally Psycho appears to make the Sole Survivor more aggressive, yelling violent expressions after using the drug. Upon using Psycho, the Sole Survivor may let out a crazed roar or exclaim battle taunts like "Bring it!" or "Fucking kill!".

NPCs testify that the high from Psycho combined with battle is extremely intense, creating a powerful focus on the present and heightened awareness;[citation needed] this is not an amnesiac property of Psycho, rather a testament to its immediate effects. There is no altered perception of time, as with Buffjet or Jet, rather it was difficult to think of anything else.

Chronic abuse of Psycho was less common among the Commonwealth than other chems.[citation needed] Cait indicates that she continues to take Psycho long after it has ceased to be effective and that its acidic properties cause her physical pain when dosing. The severity of her addiction is particularly strong and exceeded the capabilities of Commonwealth doctors to cure, eventually requiring pre-War Vault-Tec technology to achieve. Prolonged use can have an impact on the ability to form new memories, as Cait is distressed that curing her Psycho addiction will erase any prior haze of memory to clarify the physical and emotional reality of her actions.


Acid (1)
Psycho (1)



  • Mama Murphy can die by overdosing on Psycho. A similar effect can be seen with Pacer by spiking his Jet with Psycho in Fallout: New Vegas.
  • Psycho is also Cait's chem of choice, and has been using it for so long that no doctor can cure her. The quest Benign Intervention has the player character seeking out Vault 95 in order to find and use the only means of curing Cait of her addiction.