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Dermal Impact Assault Enhancement is a Fallout 2 perk.
This is a special perk, which means that you can't just pick it when you level up. You can get this from doctors in Vault City, Redding or San Francisco once you learn about implants in Vault City. The implant will also require you to part with a suit of normal Combat Armor; Combat Armor Mark II or Brotherhood Armor cannot be used for this purpose. You must have Dermal Impact Armor to get this.
This implant adds 10% to your Damage Resistance against normal and explosion damage, replacing the Dermal Impact Armor. Unfortunately, it also lowers your Charisma by 1 permanently.
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