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This item will be given to you by Alastair Twines upon talking to him, after attacking a child at any given time in the game. It is considered a quest item by the game and therefore cannot be dropped.
- The item 'Bear of Tears' displays as a teddy bear when dropped/placed on the ground. This can be discovered using console commands.
- It shares a Pip-Boy image with Yew's bear charm.
- It reduces the players health by 25 Hit Points as long as it is carried in the inventory.
- It will be replaced by a normal teddy bear after the quest Curse of Tears has been finished.