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Fallout 3 Hints
Butch's Toothpick
1 of 3: This unique switchblade has the following advantages over regular switchblades: 56% more damage, 50% more health, increased critical chance and damage.
2 of 3: It's in the possession of Butch after you start the "Trouble on the Homefront" misc. quest.
3 of 3: You can either kill him for it while on that quest, or you can finish that quest in such a way that he becomes a follower, and then take it while trading equipment with him.