Traits
Rough Childhood: If THEY was from where YOU was from, they'd be *bleep*-in' dead! You gain +10 to the Melee Weapons and Unarmed skills, but suffer -10 to the Speech and Barter skills.
Psychopath: You've always been a little "off," and that bullet to the brain sure didn't help things. You deal +50% damage when using knives or knife-like weapons (such as the Ripper or Shishkebab), and you can take the Bloody Mess, Terrifying Presence, and Cannibal perks at level 2 (for free!), but your reputations cannot increase above Neutral, and you cannot recruit humanoid companions. (Great for "kill-'em-all" playthroughs!)
Perks
Action Hero: Level 18, END 6+, CHR 6+
You've seen quite a few Pre-War films. You gain +10 to Guns and Speech when wearing long coats or suits, and +5 to Explosives and Survival when wearing sunglasses. Additionally, one-handed firearms cost half as much AP and deal +50% damage in VATS.
Mad Scientist: Level 18, PER 6+ INT 6+
You're doing science and you're still alive! You gain +10 to Energy Weapons and Science when wearing lab coats or doctor's uniforms, and +5 to Medicine and Repair when wearing reading glasses. Additionally, energy weapons cost half as much AP and deal +50% damage in VATS.
You And Me Against The World (2 Ranks): Level 24, CHR 7+
In a battle with the wastes, you like to bring backup. This perk grants you +100 HP when you have a humanoid companion. The second rank grants you +50 HP when you have a non-humanoid companion.
Be Excellent To Each Other: Level 26, CHR 8+, Speech 80+
Can't we all just get along? This perk resets any negative reputations you have to Neutral, and your reputations can no longer fall below Neutral. Enjoy the closest you can get to diplomatic immunity in these harsh lands!
For a Better Future: Level 30
You strive to restore peace and hope to the wastes... and God help whoever gets in your way. This perk increases your Speech and Medicine skills to 100, increases your Damage Threshold by 10, sets your Karma to Very Good, and allows you to deal +50% damage against Evil characters.
I Will Survive: Level 30
In a war-torn world, you only look out for number one; namely, you. This perk increases your Lockpicking and Survival skills to 100, increases your Damage Threshold by 5, allows you to negate 5 points of enemy Damage Threshold, sets your Karma to Neutral, and allows you to deal +25% damage against everything.
God is Dead: Level 30
You seek to become the final nail in humanity's coffin. You take what you want, when you want. Chaotic Evil, baby. This perk increases your Guns and Melee Weapons skills to 100, allows you to negate 10 points of enemy Damage Threshold, sets your Karma to Very Evil, and allows you to deal +50% damage against Good characters.