Blood Ties Blood Ties is a " Fallout 3 " side quest . It is also a Xbox 360 and PC achievement , and a PlayStation 3 trophy . Detailed walkthrough . Quest start . The quest can be started by speaking with Lucy West in or around Moriarty ' s Saloon in Megaton , by talking to Evan King in Arefu or by reading " Regarding the Arefu Incident " in the Family ' s terminal in the Meresti Metro Station . Deliver Lucy ' s Message . Lucy West asks the Lone Wanderer to deliver a letter to her family in Arefu . If the quest is accepted , Lucy will give the player character an envelope , and mark the location of Arefu on the Lone Wanderer ' s Pip - Boy 3000 . Report to Evan King . Evan King will toss a grenade as the player character approaches Arefu . King then apologizes and explains that the town has been under repeated attacks by The Family . Evan will ask the Lone Wanderer to check the Ewer , Schenzy , and West residences to make sure everyone is all right ( this starts the quest for the player character if he / she didn ' t pick it up from Lucy ) . When checking in on the residents , the Lone Wanderer discovers that the Ewer and Schenzy families are safe , but further investigation finds the dead bodies of Lucy and Ian ' s parents ; further examination shows they have bite marks on their necks ( requires 30 + in Medicine skill ) with no significant blood amount on their bodies ( 50 + Medicine skill ) , that the teeth marks are from human teeth ( 70 + Medicine skill ) and that there is train yard residue on the bodies ( 90 + Medicine skill ) . When the player ' s character reports back to Evan King , he ' ll ask about Lucy ' s brother , Ian West . Upon discovery that he ' s missing , Evan will mention having seen Ian with Vance , the leader of the Family . He ' ll also add three markers to your map if prompted : Hamilton ' s Hideaway , Moonbeam Outdoor Cinema and the Northwest Seneca station - none of which are correct , though Murphy in the Seneca Station will tell the player character to follow the sewers if the player character asks about the Family . If the player character noticed the train yard residue , it will be possible to ask Evan if there are any train yards in the area . This will allow Evan to add a marker for the correct location , Meresti trainyard . If one has the Scoundrel perk , before finding Ian , they can return to Lucy and demand caps before going to look for her brother . She gives 100 caps , with no Karma penalty . Locate the Family . The Family resides in the Meresti Metro station which can be reached easiest via the tunnels under the Meresti trainyard , or much more inconveniently , through the tunnels found under the radioactive barrels in the back of Murphy ' s place in Northwest Seneca station . There are various traps , including bear traps , frag mines , a rigged baby carriage and an assortment of tripwire traps that set off rigged shotguns , grenade bouquets and even a pitching machine . If you enter by Northwest Seneca Station , you will find Murphy ' s chem lab operation . To the right , in the back of his office you ' ll find a hatch leading to the Meresti service tunnel . The player will encounter two mirelurks there . After going through the cave you will enter the old train trail , then make a left at the first train wreck with the dead mirelurks . The debris here conceals many traps : frag mines on either side , two bear traps in the middle . Heading left comes to two miniature tripwires between the carriages and walls . The first has a rigged shotgun straight ahead , the second a heavy weight that falls from the ceiling . The front gate to the Family ' s hideout is guarded by Robert , who will allow the player into the Family ' s home for 100 caps , or for free if the Lone Wanderer has Lucy ' s letter for Ian . The player can also gain peaceful entrance by passing a speech check with Robert , or by using a speech option from the Cannibal perk , which also opens up many more speech options making the whole quest much easier . Alternatively , the player can kill Robert and hack the terminal adjacent to his post to unlock the station door , although this and the option of sneaking past Robert will turn the family hostile . Locate Ian West . The next task is to locate Ian West to determine if he is still alive . Several members of the Family will reveal Ian ' s location and the password to unlock the room where he is meditating . These are the possible scenarios : Talking to Ian will confirm he was not kidnapped but voluntarily joined the Family after killing his parents . After a childhood encounter with a threatening wastelander , Ian has craved human flesh and blood , even that of his own mother and father . The player is then faced with the choice of convincing Ian to leave - which requires either the letter from his sister Lucy or passing a Speech check if Vance is still alive - or leaving him with the Family . Settling accounts . Ian ' s decision must be relayed to Evan King back in Arefu . Depending on which choice Ian made , the appropriate parties will react with enthusiasm or disappointment . Reporting the news of Ian ' s decision to King will result in a sizable amount of good Karma regardless of Ian ' s ultimate choice . After Ian ' s decision , the Family and the residents of Arefu are considered to be the same faction even before the deal is made with Vance . Vance may also be convinced to either not attack or to defend Arefu if he and the family are not already dead . If the player simply asks Vance to stop attacking Arefu , he will agree . Through a successful Speech , Medicine , or Intelligence check , the player can also convince Vance to enter into a deal to use blood packs instead of attacking the residents of Arefu . Regardless of the conversation choice , Vance will award the player with the Shishkebab schematics , after the initial conversation about the deal is over . If the player brokered a deal between the family and Arefu , they can return to Vance after the deal is relayed to King and ask to be shown the ways of the vampire . The player will then be taught to drink blood and awarded the Hematophage perk which modifies blood pack s to heal 20 HP instead of 1 HP . If the player suggested the Family guard the town in exchange for blood , Alan will be dispatched to Arefu , fulfilling their end of the deal . At that point , you can enter Alan ' s residence in Arefu ( located at the entrance to town , near the Brahmin pen ) to find a copy of Pugilism Illustrated on a table in the corner . After successfully dealing with the problem of Arefu , each of its inhabitants will show their gratitude in the following ways :