There's a huge host of multiplayer fixes too, fixing crashes and freezing problems, and a handful of improvements to the game in general and to the map editor. The patch is 42MB in size; you can download it or check out the full list of fixes and improvements here.
Likewise, the first Fallout 3 patch has been released, updating Bethesda’s post-apocalyptic role playing gaming to version 188.8.131.52. It’s a much smaller file at just 6.6MB and basically addresses some occasional crashes and problems with restarting the game after title updates finish installing.
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