To help mitigate this problem and give you more ideas on how to play survival mode your way this article has added some unique builds. This can leave you feeling like some Fallout 4 builds and playstyles are out of reach. There are certain perks and stat distributions that seem almost mandatory to survive. Updated on September 15, 2021, by Ben Baker: Playing survival mode can often feel limiting when creating a new character. RELATED: The Best Builds For Stealth In Fallout 4, Ranked Every build will struggle in the beginning, but for those who can get past that initial phase, these builds give the best chance at surviving and thriving into the endgame. However, there are some character builds that can give players a chance at surviving Fallout 4 in this challenging mode. It also makes everything more realistic in terms of ammo having weight, being over-encumbered causing health problems, and wellness being something to maintain with sleep, food, water, and medicine to name a few changes. The game ramps up the damage and health of enemies while decreasing your own effectiveness in combat.