About this image
Something that I haven't seen pointed out yet:
Dead Money's Sierra Madre chips appear to be based on (or heavily draw from) one of the works of french medalist Pierre Turin.
Coincidentally, the framing of the Caduceus in front of the gear might invoke subtle Brotherhood of Steel imagery for some Fallout - enthusiasts.
sources for the pictures:
https://collections.vam.ac.uk/item/O89903/french-committee-of-exhibitions-medal-turin-pierre/
https://fallout.fandom.com/wiki/Sierra_Madre_chip
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