U4GM - 19 Fallout 76 Items You Should Always Carry for Survival
In Fallout 76, survival is about more than just shooting your way through the Wasteland — it’s about preparation, adaptability, and having the right gear at the right time. Whether you’re farming events, exploring the Cranberry Bog, or just hoping not to get ambushed by a Scorchbeast mid-meal, having certain items on hand can make all the difference. Here are 19 essential items every Vault Dweller should always carry to stay alive and thrive.
1. Stimpaks (and Super Stimpaks)
A classic for a reason — no med kit is complete without a stack of Stimpaks. Super Stimpaks are great during boss fights or event waves when you need a quick full heal.
2. RadAway
Radiation is everywhere — whether from water, enemies, or nuked zones. Keep RadAway handy to keep your HP bar healthy.
3. Disease Cures
You’ll catch diseases from everything from mirelurks to moldy mattresses. Carry a few Disease Cures to avoid stat penalties mid-fight.
4. Food and Water
Dehydration and starvation lead to fast health and AP drain. Purified Water and cooked food like Grilled Radstag or Ribeye Steak offer buffs and keep you going.
5. Ammo (All Types You Use)
Never run out of bullets at a bad time. Keep your primary and backup weapon ammo well-stocked. Buying from vendors or checking for Fallout 76 Items for sale can help you restock quickly.
6. Power Armor Repair Kits
Essential if you’re wearing Power Armor. These kits let you fix gear on the fly without a workbench — perfect for public events or extended runs.
7. Weapon Repair Kits
Same goes for your guns. You don’t want your favorite weapon to break mid-Scorchbeast fight.
8. Buffout
Increases Strength and Endurance — a lifesaver for melee builds or anyone needing extra carry weight temporarily.
9. Mentats (Especially Berry Mentats)
The bonus Perception is useful for V.A.T.S., and Berry Mentats highlight enemies — perfect for sniping or farming high-density areas during seasonal events.
10. Stealth Boys
Whether you're sneaking through a Wendigo cave or avoiding PvP conflict, these give you a temporary invisibility boost when it matters most.
11. Grenades or Mines
Don’t underestimate explosives. They’re great for crowd control in events or farming runs. Frag Mines and Plasma Grenades are especially useful.
12. Fusion Cores
If you’re in Power Armor, bring extras. Running out mid-mission is a fast track to death in high-rad areas or during PotentialEvents.
13. Caps
Always carry some Fallout 76 Caps for Sale worth of currency for fast travel or vending. Stock up through trading, events, or reliable sources like U4GM.
14. Legendary Scrips and Treasury Notes
These aren’t immediate-use items, but carrying some ensures you're ready to exchange them when vendors like Purveyor Murmrgh or Gold Press Machines are nearby.
15. Lockpicks (Bobby Pins)
Many locked safes and doors hold rare loot. Don’t miss out just because you forgot Bobby Pins.
16. A Backup Weapon
Your main weapon may run out of ammo or break — always bring a backup, ideally of a different type (e.g., melee if you’re mainly ranged).
17. Rad-X
This is a must in high-rad environments or during seasonal events with nuked zones. Pre-load before entering red areas.
18. Camp Supplies
If you're out farming for hours, having basic CAMP building gear lets you drop a survival tent or setup to stash loot and rest.
19. Legendary Weapons or Armor (Event-Optimized)
Some events reward more if you bring optimized gear. Swapping in anti-Scorched or +XP gear can make SeasonsItems farming much more efficient.
Survival in Fallout 76 isn't about luck — it’s about being prepared. Whether you’re grinding public events or exploring the Wasteland solo, these 19 items will keep you alive, help you earn Many Caps, and maximize your efficiency. If you’re ever short on key supplies, checking out Fallout 76 Items for sale from trusted sources like U4GM can be a quick fix.
Stay sharp out there, Vault Dwellers.