|For an overview of Nuka-Cola soda throughout the Fallout series, see Nuka-Cola.|
This beverage is a blend of Nuka-Cola, Nuka-Cola Quantum, and Nuka-Grape, making a violet hue with a green tinge. It increases maximum hit points by 30 and maximum action points by 10; it also removes 500 rads at a rate of 4.17 per second for 120 seconds. This makes it a potent tool for combat in irradiated areas and eg. ghouls in Kiddie Kingdom and elsewhere.
- Nuka-Xtreme cannot be found anywhere; it must be crafted using a Nuka-Mixer station.