With the Pip-Boy on your arm, you can perform various actions with your in-game character, such as using healing items, changing weapons and more. Eventually, though, the excitement falls apart after a few hours, and you come to realize that the Pip-Boy is actually not helpful at all. The idea of controlling several functions in-game with the real-life Pip-Boy just seems like a natural thing to want to do, and if done properly it should offer a more realistic gameplay experience (not to mention that it saves you from opening and closing the in-game Pip-Boy). Starting Fallout 4 with the Pip-Boy ready to go was at first an exciting prospect.