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Alcohol-Z is a Fallout 2 synthetic alcohol that the Chosen One may order from Parlor Room bar in Vault City Council Area. Essentially, there is no real "Alcohol-Z" item, as the dialogue option does nothing except give $20 to the bartender and increase the "drinking" stat for the purposes of the perks.
Notably, consuming this alcohol 100 times (spending $2000) would grant special perks based on the Luck stat: