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It's perfectly safe, long as you don't have sores in your mouth for the venom to find your blood. 'Cause that'll kill you dead.Ruby Nash

Ruby's casserole or radscorpion casserole is a consumable item in Fallout: New Vegas.


This item heals 1 point per second for 30 seconds, and adds only 3 rads, making it a fairly useful food item, especially for characters with high Survival skill. This is also very useful for hardcore mode, as it removes a large amount of Starvation.

It is made by Ruby Nash (found in Primm) in exchange for radscorpion poison glands, after starting the unmarked quest, Gland for Some Home Cooking. There are also two on the table in the Nash household and multiple others within Primm houses.

Survival skill effect

SkillEffectHardcore effect
10+1 Hit Points for 30s-120 Starvation 
20+1 Hit Points for 30s-140 Starvation 
30+1 Hit Points for 30s-160 Starvation 
40+1 Hit Points for 30s-180 Starvation 
50+2 Hit Points for 30s-200 Starvation 
60+2 Hit Points for 30s-220 Starvation 
70+2 Hit Points for 30s-240 Starvation 
80+2 Hit Points for 30s-260 Starvation 
90+2 Hit Points for 30s-280 Starvation 
100+3 Hit Points for 30s-300 Starvation 
Note: Radiation is not affected by Survival skill level.


The cut perk Spicy Casserole would have allowed the Courier to make a casserole with flour, a jalapeño pepper, mole rat meat, and a radscorpion poison gland with a Survival skill of 30.