So there's a bit of exposition to explain what's going on
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Summary
You are the thirty year old Sixten Ranger, a pharmacist in Novac. Your days are typically spent quietly and mostly alone, unless you count the occasional customer or merchant that stops by.
As you visit Goodsprings, Doc Mitchell hands you a rather peculiar Pip-Boy that starts to affect you and the world around you in strange ways.
All you have to do now is figure out why it's doing what it's doing, which... Is easier said than done.