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Currently drugged and laid out in the operating room of Red's clinic, Timebomb was severely wounded during the last super mutant attack, when Red and Shorty were kidnapped. He is known as Timebomb due to his mood swings; he has prolonged periods of calm before instigating big disturbances.[1]
Timebomb, like every other person in Big Town, came from Little Lamplight. If the player speaks to Bittercup, she will say she had a relationship with Timebomb. If you speak to Timebomb about this, he will have no recollection of it, implying she may have "had a relationship" with him while he was unconscious and alluding to Bittercup's fascination with death.
With a high enough Medicine skill (40), you can choose to heal or kill Timebomb.
With a Medicine skill lower than 40, the only options presented are to leave him alone or put him out of his misery.
If you heal him, complete the "Big Trouble in Big Town" quest, and help defeat the super mutant attack, he will give you the Lucky 8 ball upon speaking to him.