Lucy states she needs Buffout, from which she can derive a useful treatment for Rickets. Little Lamplighters are subject to malnutrition due to lack of exposure to the sun.
Eclair, Little Lamplight's cook, reveals that he is in need of strange meat, which is actually human flesh. Eclair explains that there is a fungus that grows in the cavern's pools, and it makes up an important part of the children's food supply. This fungus seems to thrive on meat, especially strange meat, a discovery the first children of Little Lamplight made when they threw the bodies of the dead adults into the pools.
The player must get Mayor MacCready to agree to the exchange deal. It appears the player requires about 50 Barter or the Child at Heart perk to make him agree. If you decide to do a speech check (which is still possible after doing the Barter check) and succeed, you will threaten MacCready into giving you 10 cave funguses. However, Eclair will no longer trade cave fungus with you, as well as sell you his other goods (he will instead say "Well, you're cut off. Go scrounge your own food."), and Lucy will act as if you never negotiated with MacCready. Doing the speech challenge is ill-advised.
With MacCready's approval, Eclair and Lucy will both trade one unit of cave fungus for three pieces of strange meat or three Buffout.
With the Child at Heart perk the deal will be one piece of strange meat or Buffout for one piece of fungus. It should be noted that having a higher barter at the time of the agreement will lower the number of strange meats/Buffout per fungus. A value of 75 Barter will net a two-for-one deal. It is possible to renegotiate the terms of the deal by returning to MacCready with a higher barter skill later.