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Fallout 3 Hints
Become seriously injured (50% health or less).
1 of 4: This is a very easy, though very painful, objective to fulfill.
2 of 4: Leave Craterside Supply and walk up to the railing that's just ahead.
3 of 4: Quicksave, then jump over the railing and fall to the ground (or the bottom of the ramp) below.
4 of 4: You'll sometimes get killed, and you'll sometimes get damaged enough without suffering a crippling injury. Keep quickrestoring and trying again until you get both.