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Dead Money: Sierra Madre

A survival-horror heist in a fog-choked pre-War resort. Ghost People, bomb collars, toxic cloud, and the Sierra Madre vault with 37 gold bars.

Recommended level
20+

Enter the Abandoned Brotherhood of Steel bunker southeast of the Mojave Outpost (the radio signal from the bunker starts the DLC). You are gassed and wake up at the Sierra Madre with none of your gear.

Dead Money strips the Courier of every item and drops them into the Villa outside the Sierra Madre Casino, wearing an explosive collar controlled by Father Elijah. The add-on is built around scarcity: you scavenge for Sierra Madre chips, use vending machines to buy supplies, and avoid radios and speakers that detonate your collar. Ghost People do not die unless you dismember them, and the red Cloud slowly burns you in low-lying areas.

You recruit three companions for the heist: Dean Domino, Christine Royce and Dog/God, each with their own quest and a role in the casino break-in. The finale in the vault lets you take the gold bars, though their weight makes escaping with all of them one of the most famous challenges in the game. Completing the DLC raises the level cap by 5.

Bring a high Repair or Science skill for the vending machines, Melee or Unarmed for the Ghost People, and finish any Mojave business first because you cannot leave until the story is done.