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The Vault - Fallout Wiki
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For other characters in the Fallout universe named Jimmy, see Jimmy.
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Infobox incomplete
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James T. Roche
VB DD02 npc Jimmy T.gif
Biography and appearance
RaceMariposa super mutant
AffiliationUnity (formerly)
RoleMedicine man
Tag SkillsNone
TraitsGood Natured (+20% First Aid, Doctor, Speech, Barter; -10% Firearms, Unarmed, Melee)
Criminal (Cannibal) (+3% Unarmed; +3% Melee; -5 Karma; -5 Reputation)
Stigma (Cannibal)
Criminal (Unlicensed Doctor) (+3% First Aid; +3% Doctor; +3 Karma).
Gametitle-VB.pngThe following is based on Van Buren and has not been confirmed by canon sources.

James T. Roche, commonly known as Jimmy T., is a super mutant medicine man, though not a good one, from Denver in 2253.


Jimmy T. is a large super mutant, but with delicate hands and facial features. He walks slumped over, head facing the ground. He speaks very quietly, unless the discussion turns towards one of a medical nature. He has performed acts of minor first aid for those that have requested it. He wears glasses, but if you look closely, you can see that they are empty frames.

He finds just about everything funny in an annoying kind of way, and has a big, booming laugh to go with his sense of humor. He seems trustworthy, and claims he's from Boulder.

Jimmy trades with Eddie Galenski of Boulder, and keeps secret from both Eddie and the Salvagers that he is tied to each group.

James was a doctor for a small mountain community. He lived alone, due to his super mutant nature, but always did his best to care for the people in his small village. He studied pre-War medical journals and tried to perform as much modern medical care as possible, as compared to a tribal shaman.

While on a house-call to one of the village elders, a storm snowed him and the patient in. When the rest of the village was able to reach them months later, they discovered one fairly fit super mutant and the bones of the village elder.

The villagers turned James over to the NCR for practicing medicine without a license, but they were never able to prove the charge of cannibalism. James will not discuss the events of those frozen months.

Interactions with the player character

General Services Quests
Companion: No
Merchant: No
Doctor: No
Starts quests: No
Involved in quests: No
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  • He has a Pip-Boy - it's unknown how he got it - either by taking it from a dead Vault Dweller or he got it in a Vault either by finding it or being a vault resident, but Unity raided the Vault and transformed him into a Super Mutant.


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Jumpsuit, boots
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Carried items
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Drops on death


James T. Roche was to appear only in Van Buren, the canceled Fallout 3 project by Black Isle.