1. Game Items
2. Fallout 4 Item ID List
3. Massachusetts Surgical Journal

The Massachusetts Surgical Journal is a collectible item that boosts the player's abilities, specifically by permanently improving their limb damage. Each issue found grants a unique perk, enhancing the player's combat effectiveness. This item is part of a series scattered throughout the post-apocalyptic world, encouraging exploration and rewarding players for their curiosity and willingness to search every nook and cranny. Its design and backstory add depth to the world, blending educational elements with the thrill of discovery.