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This is just a save file that adds Kanye West as a playable character. The character itself is called 'West' so Codsworth refers to you as 'Mr. West' like he should. You start outside the vault with the bare minimum of supplies. You gotta work your way up from the ground. But worry not, that that doesn't kill you, will only make you stronger.
This file goes in Documents/My Games/Fallout 4/Saves
This file goes in Documents/My Games/Fallout 4/Saves