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After you start to head towards Primm on the main quest, They-Went-That-a-way, or are going there on a side quest or just traveling there from Goodsprings, you will encounter an option to re-customize your character as you continue on your way. You will have the option to change your S.P.E.C.I.A.L. stats and re-tag skills as well as changing your traits and physical appearance. After you do this there is no way to re-customize again.

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