Fallout new vegas mods alternate start

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If you install it but don't see what you expect, then the mod was probably packaged in a 'non-standard' fashion. Most of the time a mod manager will be able to work that out from the archive package structure, but not always. Speaking in VERY general terms, if a mod is adding 'something new', then it is supposed to be 'self-contained' and all you need to do is place it's files where they belong.