James T. Roche

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James T. Roche
VB DD02 npc Jimmy T
Image used as concept design for James T. Roche in the Van Buren design document
raceMariposa super mutant
affiliationThe Master's Army (formerly)
roleMedicine man
appearancesVan Buren
questsAnalyze Their Drug Stockpile
Get Garcia out of his coma
Get the Salvagers some fruit or vitamins
Get Jimmy T a Doctor's Bag
Get them a Geiger Counter
tag skillsNone
traitsGood Natured
(+20% First Aid, Doctor, Speech, Barter;
-10% Firearms, Unarmed, Melee)
Criminal (Cannibal)
(+3% Unarmed; +3% Melee; -5 Karma; -5 Reputation)
Stigma (Cannibal)
Criminal (Unlicensed Doctor)
(+3% First Aid; +3% Doctor; +3 Karma).
Gametitle-VBThe following is based on Van Buren and has not been confirmed by canon sources.

James T. Roche, commonly known as Jimmy T., is a super mutant medicine man, though apparently not a good one, from Denver in 2253.


Jimmy T. is a large super mutant, but with delicate hands and facial features. He walks slumped over, head facing the ground. He speaks very quietly, unless the discussion turns towards one of a medical nature. He is known to give first aid help for those that have requested it. He wears glasses, but if you look closely, you can see that they are empty frames.

He finds just about everything funny in an annoying kind of way, and has a big, booming laugh to go with his sense of humor. He seems trustworthy, and claims he's from Boulder.

Jimmy trades with Eddie Galenski of Boulder, and keeps secrets from both Eddie and the Salvagers that he is tied to each group.

James was a doctor for a small mountain community. He lived alone, due to his super mutant nature, but always did his best to care for the people in his small village. He studied pre-War medical journals and tried to perform as much modern medical care as possible, as compared to a tribal shaman.

While on a house-call to one of the village elders, a storm snowed him and the patient in. When the rest of the village was able to reach them months later, they discovered one fairly fit super mutant and the bones of the village elder.

The villagers turned James over to the NCR for practicing medicine without a license, but they were never able to prove the charge of cannibalism. James refuses discuss the events of those months.

Interactions with the player characterEdit

Interactions overviewEdit

General Services Quests
Companion: noIcon cross
New Plague Carrier: noIcon cross
Merchant: noIcon cross
Doctor: noIcon cross
Starts quests: yesIcon check
Involved in quests: yesIcon check



Apparel Weapon Other items
Jumpsuit, boots Pip-Boy

Although James has a Pip-Boy, it's unknown how he got it.


James T. Toche has not appeared nor is he mentioned in any published game. He was to appear only in Van Buren, the canceled Fallout 3 by Black Isle Studios. It is not certain if he will appear in any future Fallout game.

Behind the scenesEdit

Roche is the brand name used by Hoffmann-La Roche a major pharmaceutical and healthcare company.

Design Document
CharactersScientistsAgnes · Donald · Goddard · James · Nina · Paul · Think tank · Xian · ZAX
TruckersBillie · Eddie Galenski · Helen Wheels · Jack · Joshua · Ribera · Tanner · Tyler
JackalsBanshee · Crazy Bitch · Howler
LocationsBoulder Train Station · Jackal camp · Baggers camp · Dead ghoul graveyard · Boulder Dome level 1 · Boulder Dome level 2 · Boulder Dome level 3 · Dome tunnels · ZAX Mainframe
QuestsBoulder Scientists Research or Write · Code Yourself Smarter · Defeat the Baggers/Larsen's Team · Destroy the Jackals · Destroy the Truck · Dope RadAway for Larsen · Dump Allies In the Dome · Establish Radio Contact & Trade With Denver · Find out about Wagner · Find out what ZAX is calculating · Fix Things in the Dome · Get the Medical Implants · Give Slaves to Boulder to Make Robobrains · Heal Helen's Kids · Jimmy the Cannibal · Quarantine the Glow Bugs · Research Plague Data · Robobrain a CNPC · Sleep Through Presper's Holocaust · Stabilize the Reactor · Take Computer Classes · Tell the BOS about the Dome · Trade Holodisks to the Geeks · Use Think Tank for Data

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