Truly Ghoulish
⚪ Last updated 2021⚠️ Install Order · 2 steps
Install in this order, then this mod last — most mods fail to load without their framework and dependencies in place.
Preview

🔍 Analysis
- 👍 3.6% endorsement rate — high engagement, a strong quality signal
- 🏆 #2 of 18 Perks mods in this game by downloads
📋 About This Mod
###Truly Ghoulish###
Updates the Ghoulish perk (Endurance 9) so that it actually functions as described. Radiation not only causes you to heal lost HP (always did that) it also does not reduce your max HP. This means you can truly wander through the Glowing Sea in your skivvies if you should so please. According to the official strategy guide, this is how the perk worked in the first place, and all of the flavor text seems to point to that being the case as well. Does not change the rate at which each level of Ghoulish restores health.
I know it's been a long time, but I finally decided to update this mod with a more progressive approach to balancing. It will now remove rads at a rate of 5 per second at rank 1, and doubling at each subsequent rank (5/10/20/40). This is fully compatible with Nuka World (and requires it to be installed!). Those who still want the old, non Nuka-world variant can grab the legacy version with 1000/sec rad removal.
Truly Ghoulish tweaks the Ghoulish perk in Fallout 4 so that radiation no longer reduces your maximum health, while keeping the healing effect. This is a small, focused quality-of-life mod for players who want to embrace radiation without the health penalty. With 1,624 endorsements and 45,052 downloads, it's a popular choice for those seeking a more forgiving wasteland experience.
✨ Key Features
📊 Pros & Cons
✅ Pros
- Community favorite with 1,624 endorsements and 45k downloads
- Makes radiation builds viable without the health penalty
- Lightweight and focused—does exactly what it says
⚠️ Cons
- Last updated in 2021—may not be compatible with the latest Fallout 4 updates
- Only affects the Ghoulish perk; no other changes
- No detailed documentation or patch notes provided
For Fallout 4 players who love radiation-themed builds but hate the max health penalty. If you're tired of your health bar shrinking every time you soak up rads, this mod is for you. Skip if you want broader perk overhauls—this is a single, targeted tweak.
💡 Beginner Tips
- Make sure you have the Ghoulish perk unlocked before expecting any changes—this mod only affects that perk.
- If you're using a mod manager like Vortex or NMM, install it through there to keep your load order clean.
- Since it's a simple ESP, you can place it anywhere in your load order, but putting it near other perk mods can help avoid conflicts.
📊 Mod Details
- Game
- Fallout 4 Mods
- Author
- jasonmbrady
- Version
- 2.0
- Downloads
- 45,052
- Endorsements
- 1,624
- Category
- Perks
- Created
- 12/21/2015
- Updated
- 7/18/2021
🔧 How to Install Fallout 4 Mods
Download from Nexus.
📖 Full step-by-step install guide for Fallout 4 →
Visit the official mod page for specific installation instructions for this mod.
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