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You need Science 40/60/80 to be able to upgrade implants to levels 2/3/4.
Beyond that, there are no other limitations. Something else is broken.
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Sorry, it was my fault. I thought the "Level" column on the spreadsheet meant that it could be upgraded up to that level. Did not realize there was an "Upgradable" column.

Regardless, thank you very much for your quick response!
Would you be willing to pick the mantle of this mod:
https://www.nexusmods.com/newvegas/mods/74655?tab=posts

Right now, I think it stopped working, due to both your mod and JAM updating. Its breaking scripts left and right, judging by the comments. Also, it dosen't work with the better implementation of sprinting in Enhanced movement
Hello! Would you consider making a patch for better character creation and Cyberware 2281 for the Old World Blues sink?
having trouble getting the b42 quick throw patch to work any advise would be appreciated :)
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The patch removes cyberware implants from B42 Quickthrow.
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oh okay thanks for letting me know
There is a conflict with YUP where the dialogue with Doctor Usanagi is simply deleted in Cyberware 2281 version 1.4.0 (shown in FNVEdit). The two form ID's are 00164AFF and 00164B02. Are these safe to ignore?
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Okie dokie, thank you for the confirmation
i had this error where i can have Optics Enhancer embedded without having to pay for surgery (accessing Nevada's UI).
but the moment i installed other implants on the head, the optics enhancer suddenly disappeared.