Fallout 4, a rough-skinned ghoul in a hat and suit.

Can You Become a Ghoul in Fallout 4?

Ghouls are a big part of Fallout 4‘s world, both regular and feral. Even the ones who don’t want to eat your face are often shunned. But can you become a ghoul in Fallout 4? Here’s the answer.

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Can You Become a Ghoul in Fallout 4?

You cannot become a full ghoul in vanilla Fallout 4, but there is a perk that will give you one of the benefits of being a ghoul. In the world of Fallout, ghouls are people who’ve been exposed to radiation but who haven’t died. Instead, they become immortal, their skin becoming pock-marked and discolored.

Some retain their minds, while others become zombie-like feral ghouls, but even the ones who haven’t gone mad are looked down upon by society. So, having you play as a ghoul could be quite the game-changer. However, every Fallout game to date casts you as a human. There is no ghoul class.

What you can do with the vanilla version of Fallout 4 is, through your perk/skill tree, acquire the “Ghoulish” perk. You’ll need Endurance of 9 to unlock this, but it means radiation heals you, and with the perk maxed out (which requires the Nuka-World DLC), radiation is nearly a non-issue. Your appearance, however, remains the same. 

That’s what you can do with the vanilla version of Fallout 4. However, there are mods available to take things a little further.

Related: How to Wait in Fallout 4

How to Play as a Ghoul in Fallout 4 Using Mods

If you take a look at the Fallout 4 mods, available through the in-game mod browser, you’ll see that there are at least two that let you change your appearance to look like a ghoul. The one I’d recommend is “Revamped Playable Ghoul” by Cebius, available on PC, PlayStation, and Xbox. 

"Revamped Playable Ghoul", a Fallout 4 mod by Cebius.

The mod hasn’t been updated in a while, but when you create a character, it’ll give you the appearance of a ghoul. This does mean starting all over again, but if you’re thinking about playing as a ghoul, chances are you’re about to start a new game.

If you combine that mod with the Ghoulish trait, you’ve got a reasonable approximation of what it might be to be a ghoul. The snag is that your voice remains the same, and no-one reacts to your appearance. But it’s as close as you’re going to get unless Fallout 5 does add a ghoul class. 

So, the answer to whether you can become a ghoul in Fallout 4 is not really, but the combination of a perk and mod comes pretty close. 

Fallout 4 is available now.


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Chris McMullen
Chris McMullen is a freelance contributor at The Escapist and has been with the site since 2020. He returned to writing about games following several career changes, with his most recent stint lasting five-plus years. He hopes that, through his writing work, he settles the karmic debt he incurred by persuading his parents to buy a Mega CD. Outside of The Escapist, Chris covers news and more for GameSpew. He's also been published at such sites as VG247, Space, and more. His tastes run to horror, the post-apocalyptic, and beyond, though he'll tackle most things that aren't exclusively sports-based. At Escapist, he's covered such games as Infinite Craft, Lies of P, Starfield, and numerous other major titles.