
When he was finally awoken, it was by a woman who had survived the purge, attempting to pry his armor off. While his power armor had protected him from death in the accident, he sustained severe injuries that left him comatose for several days. Īshur survived the building collapse during the Scourge. The Scourge succeeded in calming the city and clearing it of its most violent inhabitants, it also left a power vacuum. There was only a single casualty, Initiate Ishmael Ashur, believed dead after a building collapse. Rumors claim that the Brotherhood also recovered an important asset of some kind from the ruins.

The Brotherhood took 21 healthy children away from the city and trained them as their own soldiers. This operation would come to be known as the Scourge. More of a massacre than a military action, Brotherhood soldiers entered the city from Mount Wash, and in a single night slaughtered half of the city's population, sparing only those who surrendered immediately. After reconnoitering the ruins, Lyons ordered an attack on the city. This state of affairs persisted for over a hundred years, until 2255, when an expeditionary force of the Brotherhood of Steel, led by then-Paladin Owyn Lyons, arrived at the outskirts of the Pitt on their journey to the Capital Wasteland. While this eventually allowed the Pitt to settle into a state of brutal self-sufficiency, it left the city with a terrifying and infamous reputation, and travelers from across the East Coast came to avoid the place as a matter of common sense. By 2127, the Pitt collapsed into warring tribes of cannibals and rapists ruled by the strong. Despite valiant efforts by the Union to restore some semblance of order, the brutal war with the Fanatics, a raider confederation unified under a single banner, destroyed the restored Pitt infrastructure, while the trog plague wrought havoc among the survivors. As the population degenerated, so too did the order. Infants were particularly vulnerable to the Contagion, which continued to wreak havoc on the city.

The Troglodyte Degeneration Contagion, or "TDC" became the most persistent issue plaguing the ruins of Pittsburgh, affecting children and adults alike. Many would eventually become Wildmen or Trogs, succumbing to the posionous environment of the Pitt. The accumulation of poison led to deformed births, genetic damage, and subtle mutations that manifested as Pitt dwellers aged. Unbeknownst to the city's inhabitants, however, the river had been heavily polluted with radioactive material, mutagenic agents, and dangerous carcinogens. The devastation from the warheads also grants ample room and raw construction materials, and the river provided a seemingly-useful source of water. The radioactive fallout from the warheads mixed with the heavy industrial pollution from the steel mills created a hazardous environment unique to the area. The warheads that landed near the metropolis would dramatically alter the environment around the city.

As a major industrial center for steel production, Pittsburgh was a priority target for Chinese warheads. The Pitt was once the city of Pittsburgh, Pennsylvania.
