The Pimp-Boy 3 Billion can be obtained from Mick of Mick & Ralph's as part of an unmarked quest to determine why the Omertas (of the Gomorrah casino) have stopped purchasing weapons from him. To switch back to the original Pip-Boy, they can simply talk to Mick about it. Once received, the Courier automatically replaces the standard Pip-Boy 3000 with the Pimp-Boy 3 Billion. The Pimp-Boy 3 Billion is a standard Pip-Boy 3000 that has been 'pimped out' with what appears to be gold and silver plating as well as encrusted diamonds.