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Your spine is back in your body, but some advance technologies remain: Your torso can now be crippled again, but your Strength (STR) and Damage Threshold (DT) bonuses have doubled! (+2)— In-game description

Reinforced Spine is a perk in the Fallout: New Vegas add-on Old World Blues.


This perk will replace Spineless if the Courier chooses to have the Sink Auto-Doc re-insert their spine when the option becomes available.


The Courier's Strength and Damage Threshold will be permanently raised by 2 points.


  • Compared to the Spineless perk, one gains double the Strength and Damage Threshold bonuses from +1 to +2, at the cost of enabling your torso to be crippled again.
  • The bonus is not added to base Strength, so when leveling it will not count toward qualifying for perks.
  • The Vault Boy images for Reinforced Spine and Spineless are the same.

See also