All PerksMassachusetts Surgery
Massachusetts Surgery
Fallout 4 Perk
Massachusetts Surgery
Inflict +18% limb damage.
Massachusetts Surgery is a magazine series in Fallout 4 with 9 issues, each one read adding a rank.
It affects 220 weapons.
Inflict +2% limb damage.
Massachusetts Surgery Builds
Level 50
s.
p.
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a.
l.
Wasted Lander
Chem Alcohol Caffeine Addict Sneaky Plasma Sniper build
Level 151
s.
p.
e.
c.
i.
a.
l.
Skinny Malone
Mobster build
Level 145
s.
p.
e.
c.
i.
a.
l.
Settlement lord
Pipe Weapons build
Level 50
s.
p.
e.
c.
i.
a.
l.
Pacificador
Fallout 4 build
Level 50
s.
p.
e.
c.
i.
a.
l.
Brotherhood Of Steel
Heavy PA build
Level 179
s.
p.
e.
c.
i.
a.
l.
John "Johnny Boy" Murphy
Catch Wrestler & Boxer build
Level 57
s.
p.
e.
c.
i.
a.
l.
A Atiradora da Commonwealth - ISABELLA
V.A.T.S critical build
Level 280
s.
p.
e.
c.
i.
a.
l.
Jeanioz
Fallout 4 build
Level 55
s.
p.
e.
c.
i.
a.
l.
Explosive Big Guns Powered Commando Power
Explosive Boss - No V.A.T.S. build
Level 50
s.
p.
e.
c.
i.
a.
l.
Frank Horrigan
Fallout 4 build
Ranks
Inflict +2% limb damage.
Inflict +4% limb damage.
Inflict +6% limb damage.
Inflict +8% limb damage.
Inflict +10% limb damage.
Inflict +12% limb damage.
Inflict +14% limb damage.
Inflict +16% limb damage.
Inflict +18% limb damage.
Affects
Pistols (24)
10mm Pistol
10mm Round
18
Acid Soaker
Acid Concentrate
5
Alien Atomizer
Alien Blaster Round
54
Alien Blaster
Alien Blaster Round
50
Classic 10mm Pistol
10mm Round
28
Compensated 12.7mm Sub-Machine Gun
12.7mm Round
19
Flare Gun
Flare
10
Gamma Gun
Gamma Round
10
Institute Pistol
Fusion Cell
16
Institute Plasma Pistol
Plasma Cartridge
22
22
Ion Gun
Fusion Core
0
1
Laser Pistol
Fusion Cell
24
Nail Gun
Nails
13
Paddle Ball
Paddle Ball String
1
Pipe Bolt-Action Pistol
.308 Round
34
Pipe Pistol
.38 Round
13
Pipe Revolver Pistol
.45 Round
24
Plasma Defender
Plasma Cartridge
28
28
Plasma Pistol
Plasma Cartridge
24
24
Silver Sidearm
10mm Round
25
Snubnosed .44 Pistol
.44 Round
48
T60 Pistol
.44 Round
38
Thirst Zapper
Western Revolver
.44 Round
60
Unique Pistols (22)
AX90 Fury
Plasma Cartridge
24
24
Carlsbad
12.7mm Round
19
Clementine
12.7mm Round
19
Deliverer
10mm Round
25
Early Retirement
.44 Round
50
Eddie's Peace
.44 Round
48
Experiment 18-A
Plasma Cartridge
24
24
Gen-4 10mm Pistol
10mm Round
18
Hub's Alien Blaster
Alien Blaster Round
50
IPX-02 Code Azure
Plasma Cartridge
28
28
Kellogg's Pistol
.44 Round
48
Lorenzo's Artifact
Gamma Round
10
Old Faithful
Fusion Cell
24
Plasma Offender
Plasma Cartridge
28
28
Protectron's Gaze
Fusion Cell
38
Prototype UP77 "Limitless Potential"
Fusion Cell
24
Salvaged Assaultron Head
Fusion Cell
35
Survivor's Special
Fusion Cell
26
The Gainer
.44 Round
48
Ultimatum
10mm Round
28
Wastelander's Friend
10mm Round
18
Zeta Gun
Gamma Round
10
Rifles (30)
Alien Disintegrator
Alien Blaster Round
60
Anti-Materiel Rifle
.50 Caliber
50
CR-74L
.45 Round
27
Chinese Grenade Launcher Rifle
40mm Frag Grenade
200
Cosmic Cannon
Fusion Cell
17
Gauss Rifle
2mm Electromagnetic Cartridge
110
Gauss Rifle Prototype
2mm Electromagnetic Cartridge
100
Institute Plasma Rifle
Plasma Cartridge
28
28
Laser RCW
Electron Charge Pack
12
Manwell Rifle
.308 Round
90
Ported Solar Cannon Rifle
Fusion Cell
35
35
Railway Rifle
Railway Spike
100
Saw Blade Launcher
Saw Blade
78
Short Assault Rifle
5.56 Round
30
Short Combat Rifle
.45 Round
33
Short Combat Shotgun
Shotgun Shell
50
Short Double-Barrel Shotgun
Shotgun Shell
45
Handmade Rifle
7.62 Round
32
Short Handmade Shotgun
Shotgun Shell
45
Short Hunting Rifle
.308 Round
37
Short Laser Musket
Fusion Cell
30
Short Lever Action Rifle
.45-70 Caliber
35
Short Manwell Carbine
.308 Round
69
Short Pipe Grenade Launcher Rifle
40mm Frag Grenade
190
Short Radium Rifle
.45 Round
27
Short Syringer Rifle
Short Triple-Barrel Handmade Shotgun
Shotgun Shell
50
Submachine Gun
.45 Round
10
Thunderbolt
Fusion Cell
43
Varmint Rifle
5.56 Round
27
Unique Rifles (29)
A3-21 Prototype
Plasma Cartridge
28
28
10
Boom Pipe
40mm Frag Grenade
190
December's Child
.45 Round
33
Flakker
40mm Frag Grenade
200
Good Intentions
Fusion Cell
18
Judge
Shotgun Shell
47
Justice
Shotgun Shell
50
Kiloton Radium Rifle
.45 Round
27
Le Fusil Terribles
Shotgun Shell
63
Lucky Eddy
.45-70 Caliber
37
Old Reliable
.45-70 Caliber
70
Outcast
Fusion Cell
38
38
Overkill
Electron Charge Pack
18
Overseer's Guardian
.45 Round
66
Radical Conversion
.45 Round
27
Reba
.308 Round
37
Reba II
.308 Round
37
Righteous Authority
Fusion Cell
26
Sentinel's Plasmacaster
Plasma Cartridge
24
24
Silver Submachine Gun
.45 Round
10
Solar Cannon Mk. II
Fusion Cell
30
30
Splattercannon
7.62 Round
32
Spray n' Pray
.45 Round
10
Tesla Rifle
Fusion Cell
32
The Last Minute
2mm Electromagnetic Cartridge
110
The Problem Solver
7.62 Round
21
Tinker Tom Special
.308 Round
37
Virgil's Rifle
Fusion Cell
18
Wazer Wifle
Fusion Cell
50
Heavy Guns (14)
BFG 9000
Argent Plasma Cell
50
250
Baseball Launcher
Modified Baseball
47
Broadsider
Cannonball
108
Cryolator
Cryo Cell
20
Fat Man
Mini Nuke
468
Flamer
Flamer Fuel
9
Gatling Laser
Fusion Core
14
Harpoon Gun
Harpoon
150
Heavy Incinerator
Flamer Fuel
5
40
Institute Plasma Blaster
Fusion Core
16
30
Junk Jet
40
Minigun
5mm Round
8
Missile Launcher
Missile
150
Tesla Cannon
Fusion Cell
60
Unique Heavy Guns (16)
Admiral's Friend
Harpoon
150
Aeternus
Fusion Core
14
Ashmaker
5mm Round
8
Bean Launcher
Piggy Bank Launcher Bomb
468
Big Boy
Mini Nuke
936
Death From Above
Missile
150
Defender's Harpoon Gun
Harpoon
150
Fahrenheit Flamer
Flamer Fuel
9
Fahrenheit's Flaming Minigun
5mm Round
8
Final Judgment
Fusion Core
14
IPX-03 Phoenix
Fusion Core
16
30
Nuka-Nuke Launcher
Nuka-Nuke
468
Partystarter
Missile
150
Sergeant Ash
Flamer Fuel
9
Skipper's Last Stand
Harpoon
150
The Striker
Modified Bowling Ball
100
One-Handed Melee (18)
Unique One-Handed Melee (13)
Two-Handed Melee (8)
Unique Two-Handed Melee (7)
Unarmed (5)
Unique Unarmed (1)
Mines (11)
Grenades (22)
Artillery Smoke Grenade
1
Baseball Grenade
101
Cryogenic Grenade
101
Flashbang Grenade
3
Fragmentation Grenade
151
Fragmentation Grenade MIRV
151
Fury Grenade
1
HalluciGen Gas Grenade
1
Homing Beacon
1
Institute Beacon
1
Lucky Rabbit's Foot
1
Molotov Cocktail
51
Nuka Grenade
301
100
Nuka Quantum Grenade
301
Persuasion Grenade
1
Piggy Bank Grenade
352
Plasma Grenade
150
150
Predator Grenade
1
Pulse Grenade
150
Smart Fragmentation Grenade
151
Synth Relay Grenade
1
Vertibird Signal Grenade
1