Betsy is part of the 1st Recon. She is in charge of training 10 of Spades and getting him some experience within the 1st Recon. Betsy and 10 of Spades were out doing recon and tracking down Cook-Cook. However, Cook-Cook got the jump on them, knocking out 10 of Spades and raping Betsy before attempting to cook her alive. When the Courier arrives at Camp McCarran, she is in denial over the incident, which begins affecting her performance and relations with her comrades.
Betsy will flirt with a female Courier if her Charisma is 7 or greater. Possessing the Cherchez La Femme perk will allow the Courier to acknowledge her advances, though ultimately, there is no option to actually follow through with it.
ps3xbox360pc Upon moving to Camp Forlorn Hope, the Courier may not be able to talk to Betsy for the quest I Don't Hurt Anymore. This may also affect their interaction with Corporal Sterling and prevent the of completing Raul's personal quest. [verified]
ps3 The above may happen if confirmed that Cook-Cook is dead. A possible workaround is to talk to Lieutenant Gorobets. [verified]