Fallout 4 Survival Mode PLUS is a challenge run through Fallout 4 with NO Perks, No Purchases, NO Crafting, NO Cooking, NO Workshop, NO Power Armor, NO VATS, NO Companion. on SURVIVAL DIFFICULTY (the new one with hunger, thirst, fatigue, etc). This 'insanecore' barebones playstyle, otherwise known as 'Hardcore Rambo', was first applied by Major Slack to Far Cry 3 (see link below). Fallout 4 is the brand new smash hit RPG video game by Bethesda. It was released worldwide on November 10, 2015 for Microsoft Windows, Playstation 4 and Xbox One and sold 12 million copies in the first 24 hours. The Survival Beta patch was first released March 29th, 2016 on Steam for PC players. This patch installs a new hardcore difficulty setting that disables fast travel, disables quick/manual saves and introduces a host of real life needs and afflictions to your character including hunger, thirst, fatigue, disease and more. The new Survival mode was subsequently released for Playstation 4 and Xbox One on May 6th, 2016. Survival PLUS Playlist.