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Full distinctive concussion

A concussion is a status condition caused by having your head critically crippled in combat.

Fallout 2

In Fallout 2, crippling of the eyes resulted in an enemy's blindness.

Fallout 3 and Fallout: New Vegas

Main article: V.A.T.S.

Having a concussion will reduce the overall accuracy and Perception of the player character by four points. In addition, the screen will intermittently get fuzzy and a ring will be heard through the speakers. It is unknown if enemies really undergo a concussive state when they have their heads crippled.

As with the crippling any body part, targets will momentarily pause to clutch their head.

Using a stimpak, sleeping, visiting a doctor, using My First Infirmary (if you've purchased it for your residence), or through some other means relieving the crippled head will remove the Concussion effect and restore your Perception.