Originally Posted by asheskitty

It came up fine for me, after a while, I noticed a little hiccup , and did that ini hack. I'm not sure I needed it. In Win7 is runs out of the box for me (steam download).

Ref:
http://pcgamingwiki.com/wiki/Fallout_3#Issues_Fixed

I swear this info used to be in a Sticky in the SPUF thead, but now the only stickies are FO:NV.