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Aswell as performing tasks admirably and avoiding Karma reducing pastimes such as stealing , pickpocketing and murdering. You can give purified water to beggas outside the settlements of Rivet City, Tenpenny Tower and Megaton, however avoid giving any contaminated Aqua Pura ( if FEV virus inserted with Broken Steel add-on) Also if an immediate karma boost is required try killing Allistair Tenpenny or using the associated Karma perks provided by Broken Steel.
( Purified Water to Beggars is the best course of action).