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FO76 Crit. VATS Heavy Gunner Medic build

FO76 Crit. VATS Heavy Gunner Medic build

V.A.T.S. Crit-based Medic build with great end-game team utility and high DPS

Crit. V.A.T.S.
Heavy Gunner Medic
Fallout 76 Build

General information

This is one of the most intriguing Medic builds we have tested in Fallout 76. It gives amazing team utility via direct healing, V.A.T.S. healing with the Medic's Legendary weapon, and on top of being useful as a medic, Heavy Guns with high Accuracy and Critical Strike Chance have terrific DPS on their own. In our opinion, healing, the Suppressor, and the One Gun Army Perks make this the best end-game support characters in Fallout 76.

Below you will find all the recommended Perks for each of the SPECIAL attributes. We have also included several item recommendations for this build, and listed the most useful mutations and Chems that you can use. Just keep in mind that this is an end-game build, and it will perform correctly with level 50 or above, all the necessary Perks, and decent Medic's Heavy Gun.

You can also check our other builds on FO76 Builds and a beginner's guide to character customization

SPECIAL Attributes and Perk Cards



Bullet Shield

Gain +60 damage resistance while firing a heavy gun

Lock and Load

Heavy guns reload 30% faster

Traveling Pharmacy

The weight of all Chems (including Stimpaks) are reduced by 90%

In the current state of Fallout 76, Strength is one of the most important attributes in this build. It increases your maximum Carry Weight, and reduces the weight of your Chems and Stimpacks, allowing you to actually play the character without the necessity to constantly visit your Camp




You can view a target`s specific damage resistance in V.A.T.S.

Concentrated Fire

V.A.T.S. now targets limbs. Focus fire to gain high accuracy and damage per shot

Green Thumb

Reap twice as much when harvesting flora


You now gain +40 Energy Resistance

Perception increases your Accuracy in V.A.T.S. which is essential in this build, that's why we want to spend about 10 Points here




You gain increased benefit from being Well Fed or Well Hydrated

Not spending any of the SPECIAL points here may not be a popular idea, but we tend to believe these can be spent better elsewhere. Unless you suffer high damage spike, you should be able to heal all the damage with high Perception and Luck attributes




Gain 12 Damage & Energy Resist (max 36) for each teammate, excluding you

Magnetic Personality

Gain 2 Charisma for each teammate, excluding yourself

Team medic

Your stimpaks now also heal nearby teammates for their full strength


Reduce your target's damage output by 30% for 2 seconds after you attack

Charisma is the primary attribute of every team player, and this build is mostly suited for supporting your teammates. While it still has solo potential, there are much better builds out there for that




In Power Armor, heavy guns gain excellent accuracy and ignore 45% armor

First aid

Stimpaks restore 45% more lost health

Intelligence grants access to two extremely important Perks for this build. The choice of First Aid is self-explanatory, while Stabilized provides the very high DPS bonus and Accuracy for more consistent Crits.



Action Boy

Action Points regenerate 45% faster

Action Points regeneration is very important when you want to constantly use V.A.T.S. for extra damage and healing. Action Boy/Girl is a must-have



Better Criticals

V.A.T.S. criticals now do +40% damage

Critical Savvy

Critical Hits now only consume 55% of your critical meter

Four Leaf Clover

Each hit in V.A.T.S. has an excellent chance to fill your Critical meter

One Gun Army

Heavy guns gain a 12% stagger chance and a 12% chance to cripple a limb


Any kill in V.A.T.S. has a 15% chance to refill your Critical Meter

Luck is one of the most important SPECIAL attributes in this build. Luck grants access to the core Perks used in this build, which are related to high Crit. Chance, damage, and team utility. Luck will passively help you sustain high DPS and V.A.T.S. healing


ARMOR: Power Armor is a must-have in this build. Power Armor grants unparalleled Damage Resistance, Energy Resistance, increased Carry Weight and can have numerous useful modifications

WEAPON: Medic's Heavy Gun is required for this build's core mechanic to work. Gatling Gun, Gatling Laster, .50 cal machine gun, and Minigun all have decent DPS. Just make sure they are level 45/50 if you want to do some damage, instead of just healing your teammates

CHEMS: Orange Mentats provide high bonuses to your V.A.T.S. Accuracy and Perception and Daytripper increases your Luck (hence your overall chance to Critically Hit as well). Also, there is a bunch of food and drinks that can be used to increase your Luck temporarily; all of which works great in this build.


Certain Mutations are extremely powerful for this build. They are, however, quite hard to get, and will require you to have the Starched Genes Perk which will prevent them from getting healed by Rad-away. 

  1. Empath - reduces the damage your teammates take while increasing the damage you receive. Extremely powerful Mutation for Support characters, just make sure to heal yourself up as soon as you get targeted by tougher enemies
  2. Herd Mentality - increases all your attributes by 2 when playing in a team. At the same time, it will reduce your SPECIALs by 2 when playing solo
  3. Eagle Eyes - which increases your Critical Damage and Perception, at the cost of reduces Strength. It's great for maximizing your DPS
  4. Grounded - which grants 100 additional Energy Resistance, but reduces your Energy Damage by 20%. As you don't need to use Energy Weapons, this effect is negligible

If you have any suggestions related to this build or you have a suggestion for our future build, let us know in the comments below.

Pictures used in this article are the intellectual property of Bethseda Softworks LLC.