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How can I get good karma after getting very bad karma?

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Get the Law Bringer perk. Then every evil waste lander you kill will have a finger in there corpse you will be able to sell this to someone in the regulator H.Q. (This is marked on you're map when you get the perk) donate to the children of the atom in megaton or the church in rivet city, give purified water to the beggers outside of megaton, do quests without hinting about a reward, and help people in need.

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