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Could this be a reference to Big Jake starring John Wayne or Escape from New York? both have these lines could be references to this Perk.

On the pipboy, it displays the maximum health without the karma-health bonus even though the actual health is modified.

I was wondering about that, as it showed something like 545/445. Was worried it was just a temporary boost and thus worthless. Tyrasis 07:17, September 25, 2011 (UTC)

Lucky To Be Alive vs Thought You Died, Some Math for a Cowboy build

Hand Loader SWCs + Better Criticals + Cowboy with Brush Gun.

Thought You Died 116 Damage Per Hit, 228 Critical Damage, 456 Sneak Attack Critical Damage.

vs

Lucky to Be Alive 108 Damage, 259 Critical Damage, 518 Sneak Attack Critical Damage

The critical damage of Lucky To Be Alive rivals the critical damage of hollow points without the extra 3x DT.

HMMM

Out of curiosity, would you be able to get good Karma in you first few levels in Goodsprings, then do the Goodsprings level up glitch to get this perk at level 50, then before you leave Goodsprings, get evil Karma (Stealing crap), and then, when you level up again would you be able to get the "I'm Not Like That Any More" perk?

thought that xp glitch only worked with a specific patch? if you updated it after that its gone right? lonesome road download seems like it'd force the patch update and break that anyway? unless you know a way to revert to old patches?

rep?

just a karma reset not rep too? if they thought you died sounds like initially meant reset of good rep but then there are only so many ways to gain that so a reset would be problematic. then again i'd like to be able to have safehouses from people who fear me without having to settle for soft hearted demon lol

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