Where to find Scalpels and Surgical Scalpels in Fallout 76 - External Spawns
- Duchess Flame
- 3 days ago
- 13 min read
Image Credit:
Used For
Night at the Morgue Mini Season – Collect 5 Scalpels or Surgical Scalpels while wearing a Costume.
Farming Tips and Tricks
Scalpels are a per-server, pick-up history, world spawn item.
This means they will only spawn once per location per server. If another player collects it before you, you won’t be able to collect it on the same server. If the scalpel isn’t there for you and you haven’t collected it from that location before, try server hopping or switching to a private server to look again.
However, if you’ve already collected a scalpel from that location and it isn’t there when you return, you’ll need to refresh your pick-up history list before it can respawn for you.
If you’re still unsure or would like more details, check out my How Spawns Work in Fallout 76 guide, which you can find here.
Avoid using grenades or explosive weapons, as the scalpels can shift position. Since they are so small, you’ll have very little chance of finding them again.
Most of the internal spawns are locked behind questlines, so if you are up to date with all the content, you will be fine.
Fixed Spawn Locations
There are 40 external Surgical Scalpels and Scalpel spawns available on each server.
Ash Heap
Nuka-World On Tour
1x Spawn
From the spawn in location, face west and run over to the Trading area with all the stash boxes and workbenches. Stop in the middle and face south. The scalpel will be on the metal tray, next to the Doctor's Bag (Aid Storage Box).
Abandoned Mine Shaft 5
1x Spawn
It was really tricky to get a photo of this one, so enjoy the free foot pic I guess XD
From the spawn in location, turn and face southwest. Run forward, up the hill, and jump or use a jetpack to reach the top of the circular staircase. Follow the curved path to the end and face southwest. Run toward the red and white metal tower and stop when you reach the cream and orange metal trailer.
Walk around and enter the trailer. Run right and stop at the metal cart at the end of the bed. The scalpel is hidden on the other side of the metal tray. You will need to remove everything on top of the cart or jump onto the bed and grab the scalpel that way.
Relay Tower HG-B7-09
1x Spawn
From the spawn in location, veer slightly right and run toward the Relay Tower. Enter the building and walk around until you see the terminal built into the blue-green console.
The scalpel will be on the floor, near the metal tray, next to the skeleton wearing the pink dress.
The Forest
Riverside Manor
1x Spawn
From the spawn in location, turn west and follow the road until you reach the dump truck. Turn left and continue along the road until you see a police car, a jeep, and two mannequins. Walk over to the jeep and look behind it for a picnic table. The scalpel is on the south side of the table, next to the cracked noodle bowl and the doll’s head.
Charleston
2x Spawns
From the spawn-in location, look straight ahead, and you will see a small brick church with a green roof in front of you. Run over to the church, but do not go inside. Veer slightly right and stop behind it.
Face east and slowly look up at the building in front of you. About halfway up, you will see part of a floor sticking out with a desk and an Enclave satellite on it. Run over, then jump or jetpack up and stand next to the desk and satellite.
Face north and walk to the edge of the white and blue tiles. Turn east. The first scalpel is on the metal cart next to the metal tray.
Face northwest, walk forward, and stop on the other side of the broken wall. Turn northeast. The second scalpel is on top of the metal cart next to the metal tray.
Summersville Docks (Wade Airport)
2x Spawns
From the spawn in location, face west and run up the hill until you reach the wire fence and the two blue shipping containers. You can either jump over the fence or turn left, follow it, and enter the workshop through the gap in the wire.
Once inside, go into the first dome building on your right. Walk past the beds on the right and stop at the last one without a mattress. Turn east and head to the metal cabinet against the wall. The scalpel is on the cabinet next to the metal tray. Approach it from the side, because if you go too close to the bed, the scalpel glitches and disappears into the cabinet.
From the cabinet, turn west and walk to the stairs in the corner. Go up to the top and head straight to the metal cart in the corner. The scalpel is on the second shelf of the cart.
Point Pleasant
3x Spawns
You will need the Bathroom Key and Lock Pick Perk Cards to access the first spawn.
You can find a copy of the key in a house near Wilson Brother's Auto Repair.
From the Wilson Brother's Auto Repair fast travel point, veer slightly right and head up the driveway on your right. Enter the house on the right-hand side.
The bathroom key can be found on a desk in the Northeast corner of the first floor.
Back to Point Pleasant
1x Spawn
From the spawn-in location, follow the road straight ahead until you reach the Nuka-Cola machine.
Veer slightly right and continue north along the road until you arrive at the Mothman Museum, which will be on your right.
To enter the museum, you’ll need a Level 1 Lockpick to unlock the door.
Once inside, face northeast and walk toward the white bathroom door. Open it and follow the stairs all the way down. Face west and walk forward until you’re standing on the yellow rug. Turn right and continue forward until you see a large hole in the wall on your right. Go through the gap in the wall, then turn right.
The scalpel is on the metal tray, on top of the wooden crate next to the red chair.
2x Spawns
Turn around, walk back up the stairs, and stop at the front door of the museum. Face east and go up the stairs. At the top, turn right, unlock the door, and exit the building.
Outside, face east and walk forward. Veer slightly right to pass between the buildings, then continue straight until you reach the church. Keep walking forward until you reach the wall on the far side of the church.
Turn right. The next scalpel is balanced on top of the white first aid box, which sits on a metal cart in the corner next to the stairs.
Walk up the stairs and turn left. The final scalpel is balancing on the edge of the green metal table, near the IV drip pole.
Black Mountain Ordnance Works
3x Spawns
*TNT Dome # 8
1x Spawn
You cannot access this scalpel because it’s behind glass.
This dome can only be opened if you have a spare copy of the Mysterious Key, which is found on the mysterious man in black during the seasonal event Invaders from Beyond. Alternatively, you can "fall" through the door to gain access.
From the fast travel point, run forward until you reach a T-junction. Turn left and follow the road up, sticking to the right-hand side of the road. Look for the gap in the fence next to a red sign that says, "This area is closed."
Walk through the gap in the fence and keep walking straight until you reach the dirt road. There should be a ruined building in front of you and slightly to the left. Turn left and follow the road, passing the ruined building and the huge tree stump on your left.
At the end of the road, you will find the Dome 8 doors. Use the ID card reader on the right side of the dome entrance to open the door.
Enter the dome and walk over to the blue desk in front of you. Turn south and walk to the yellow, black, and white machine between the two display tubes. The scalpel is behind the glass on the left side, sitting on the metal tray.
*TNT Dome # 2
2x Spawns
If you do not have the key to open this TNT Dome, use this guide to obtain the key first. Alternatively, you can "fall" through the door to gain access to the dome.
From the fast travel point at Black Mountain Ordnance Works, follow the road South and then turn left at the T-junction. Walk East along the road until you see three Blood Eagles on your left. Kill the Blood Eagles and stand in front of the dome door they were guarding.
Turn and face South, then walk forward across the road until you reach a rock in front of you and a tree on your right. Jump over the rock and walk forward a few more steps until you hit a rock face. Turn left, and you will see the dome in front of you.
Enter the dome and walk over to the body lying on the bed. Face west and look down. The first scalpel is on the ground under the metal bench, next to the metal box.
Turn around and face east. The second scalpel is on the second shelf of the metal cart in front of you.
Tyler County Fairgrounds
1x Spawn
From the spawn-in point, face north and run forward to the first metal building with the black roof. Jump onto the roof, turn east, and follow it to the end. Drop down, face north again, and continue past the slide and the seats until you reach the small green building with the red and white striped roof. Enter the building, and you will find the scalpel on the corner of the metal cart just inside the door on your right.
Morgantown Airport
5x Spawns
From the spawn-in location, turn northeast and run forward, passing the red shipping container. Stop when you reach the piano on the back of the ute/pickup truck.
Turn east and follow the runway all the way to the gates marked “Quarantine.” Do not enter the Quarantine area. Just before the gates, turn left and enter the tent.
On the right-hand side, check the metal shelf. The first scalpel will be on the middle shelf.
Turn around, exit the tent, and enter the building marked “Medical Laboratory.” Follow the hallway on the ground floor and enter the first room on your right. Turn right inside the room. The next scalpel will be on the metal bench to your right.
Turn around, exit the room, and face south. The next scalpel will be on the metal tray, on the metal table at the end of the gurney bed in front of you.
Turn around again and walk back to the foyer/waiting area. Go up the stairs to the second floor. The next scalpel will be on the metal tray, on the bench where the dead Scorched is lying.
From the dead Scorched on the bench, turn to face south. Walk to the metal cabinet at the end of the bench, the scalpel is on top, next to the Jarred Scorched hand and the microscope.
Toxic Valley
Black Bear Lodge
1x Spawn
From the spawn-in point, run over and enter the Lodge. Work your way down to the basement.
From the basement door, turn right and walk forward. Stop at the door on your right and enter the butcher room.
The scalpel is on the corner of the metal table along the southwest wall.
The Crater
1x Spawn
Select "Exterior"
From the fast travel point, turn around and walk to the end of the tunnel.
At the end, face southeast and run forward through the water. Keep going until you reach the cliff face. Jump, climb, or use a jetpack to get up.
At the top, you’ll find a small campsite with a bike, a stove, and a green chair.
From the campsite, turn east. A shack will be directly in front of you.
Run over to the shack. At the first metal shelf by the door on the west wall, the scalpel is on the bottom shelf in the corner.
Savage Divide
Sacrament/Crossroads
4x Spawns
There are 4 spawns here, but only one can be looted. The other three are glitched inside the bed and cannot be accessed.
From the spawn in location, veer slightly right and run towards the orange and wood tents. Stop at the first tent on your right. Look for the metal barrel on the corner (you should already be standing next to it), and the scalpels will spawn on top of the barrel.
Mysterious Cave
1x Spawn
From the spawn-in point, turn and face west. Run straight until you reach the bottom of a large cliff face.
Turn southeast and walk forward onto the dirt road. Follow the road upward until you reach a raider-style lookout.
At the end of the road, stop at the top of the hill and face east. Walk forward, then turn left.
At the end, the scalpel is on the wooden table in the far left corner along the east wall.
Monongah
1x Spawn
Same location as the Pip-Boy Daily "Someone to Talk To."
From the fast travel point, follow the road straight and take the first road on your right.
Continue following the road past the cars and stop at the first trailer on your right.
Slowly walk forward, passing the cooking station and the blue rusty ute, and stop at the letterbox on your right.
Turn right and follow the driveway down to the house.
Walk around to the back of the house and go down the stairs.
Enter the room, and the scalpel is on the chemistry bench in the corner.
Foundation
1x Spawn
Select "Exterior"
From the spawn-in location, run forward and enter Foundation. Keep walking straight, veer slightly right, and stop in front of Samuel.
Turn left to face north and continue walking forward until you are inside the monorail, looking at the “Guard Post” sign on the wall. Turn right and open the orange door.
Enter the surgery room and walk past the two beds. The scalpel is on top of the metal cart behind the white medical divider on your right.
Skyline Valley
Trading Post
1x Spawn
From the spawn-in location, run forward and stop at the crafting area in the center.
Turn left and walk past the scrip machine, the punch card machine, and the ammo storage box.
Next to the ammo storage box is a pile of wooden crates. Look for the Doctor’s Bag aid box on top of the crates. The scalpel is on the metal tray beside the Doctor’s Bag.
Camp Liberty
1x Spawn
From the spawn-in point, run forward, open the gates, and enter the camp. Keep running straight and go into the main building.
Stop at the table in the middle of the room and turn left. Walk forward, turn left again, and enter the...let's call it a medical room.
The scalpel is on the metal cabinet on your left, next to the hammer.
The Mire
Hunter's Shack
1x Spawn
From the spawn-in location, run forward and enter the shack directly ahead.
The scalpel is on the metal tray beside the microscope on the table.
Dolly Sods Wilderness
1x Spawn
From the spawn in location, run straight forward, kill the Yao Guai, and then turn south to enter the cabin.
Turn right and enter the Gift Shop. Look at the metal shelf unit in front of you (to your left and middle of the room). Look down, the scalpel will spawn on the bottom shelf, on the corner, next to a bowl.
Braxson's Quality Medical Supplies
1x Spawn
From the spawn in location, run up the hill, clear the car park, and enter the building through the door with the Caution Hazardous Material sign next to it.
Stop in the doorway and turn right. Slowly walk forward while looking at the metal bench on your left. The scalpel will be on the metal bench next to the Right Leg Bone and Right Foot Bone.
Tanagra Town
1x Spawn
From the fast travel point, follow the road until you reach the edge of the crater.
Face East and walk straight off the edge, through the water, and up the other side.
Continue heading East until you reach a shed and a yellow forklift. Turn left and follow the building around until you reach the door.
Open the door and enter the bunk room. On your right, there will be a locked door with a keypad.
Enter the code 748250 to unlock the door and enter the Field Lab.
Grab the Plan: Shielded Lining Operative Underarmor from the white console next to the Armor Workbench.
Stand with your back to the Armor Workbench and walk forward. The scalpel will be on the metal tray, on top of the metal cart, in front of the white medical room dividers.
Harpers Ferry
2x Spawns
From the spawn in location, run straight and stop when you reach the road. Face southwest and walk forward until you reach the red container roller door on your right.
Face north and jump over the gate. Jump over the wall in front of you, then turn left.
You should see a white door marked 126 and Clinic. Walk over, open the door, and enter the building.
Turn right and walk down the stairs. Be careful of the trap at the bottom of the stairs.
At the bottom of the stairs, face north and walk over to the metal door. Use the terminal next to the door to open it.
Enter the room and walk straight to the white lockers. Turn left and the first scalpel will be on the metal cart, next to the green side table.
From the green side table, face west and walk over to the bed with the metal cart at the end. The second scalpel will be on the metal cart.
Big B's Rest Stop
1x Spawn
From the spawn in location, walk forward and stop in the middle of the road. Face west and follow the road, past the truck and under the bridge. Continue along the road until you reach the van lying on its side on your left. Jump on top of the van and face south. Walk forward and jump off the bridge. Face northeast and walk under the bridge. The scalpel will be on the wooden crate, next to the metal tray and the emergency pharmaceutical kit.
Moth-Home
1x Spawn
From the spawn in location, run forward, go up the ramp, and enter the area. There will be a tree trunk in front of you and a single mattress to your left. Walk forward, keeping the tree trunk on your right, and stop at the first patch of Mothman eggs. The scalpel will be next to the mattress, just past the eggs.
Cranberry Bog
There are no external spawns in the Cranberry Bog.
Hey there, I'm Kat, also known as Duchess!
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