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One day Mitchell and his robot helper Victor find
the Courier in a shallow grave with a bullet in the head. Mitchell quickly brings the man back to his house in
Goodsprings and patches him up. After removing the bullet and bandaging the wound he makes the Courier take various mental faculties tests such as, The Vit-O-Matic Vigor-Tester (used like the "I'm S.P.E.C.A.L." book in
Fallout 3 to determine the player's special stats), a word association test and a Rorschach test (similar to the G.O.A.T. test in
Fallout 3, used to determine a baseline skill set) . After the tests are complete Mitchell gives the player a few items (which are selected based on the player's specific skillset/ attributes) and a
Pip-boy 3000 and sets them on their way. Standard items include a pistol, and, inexplicably, a jumpsuit from Vault 21.
Doc Mitchell is referred to as "Mole-Butt" by Sarah and Sheldon Weintraub, two other dwellers of Vault 21.
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