Almost every food and drug item has been edited and new items have been added to the game. Consumable items are much more fleshed out and diverse.

• Lead Belly Perk is renamed Wasteland Gourmet. You need to rank up that perk to unlock progressively more powerful food and drink recipes. It also reduces (but does not remove) radiation from foods.
• Cooking food only slightly reduces the total radiation of all ingredients. Very few foods are free of radiation.
• Lower quality foods have a much higher ratio of radiation to healing.
• No foods remove addiction.
• Many new foods and recipes have been added to the game.
• Soda (yes all soda items) have been edited so that they increase AP instead of health. This makes them fill their own role in the game.
• Life Giver perk increases the health gain from drinking purified water instead of increasing your hit points.
• All recipes use purified water instead of dirty water.
• Survival: Low quality foods and raw meats have a chance to give diseases.
• Survival: All foods crafted with Wasteland Gourmet are disease free.
  

• Base duration of drugs increased slightly and some effects tweaked. Addiction chance is reduced.
• Chem Resistant is renamed "Chem Dependant" and increases the duration of chems (split from Chemist perk, Makes sense as an Endurance buff). Chem
  Dependant no longer reduces the risk of addiction.
• Chemist perk now only unlocks recipes to craft chems. All drugs require at least one rank to craft and now all drugs can be crafted.
  Recipes to craft chems have been rebalanced. For example jet now requires
  hubflower as it was too easy to craft large ammounts and break the game
  economy. Ultrajet now requires Sugarbombs for lore reasons.
• Mentats offer a slight XP buff, giving them a little more purpose (take some before a fight or when turning in a quest).
• Party Boy now only reduces alcohol addiction chance by 50%
  
  

• Mutt Chops
• Mole Rat Chunks
• Prewar foods
• Canned dog food
• Mystery Jerky
• Dirty Water
• Raw meat
• Eggs
  

• Purified water
• Soda
• Alcohol
• Preserved Prewar foods
• Wild Plants and Crops
• Desserts and snacks