Fallout 4 Pip-Boy Limited Issue Case OnlyItem is in brand new condition.The reason this item is listed as "used"is because there is no game, and no Pip-Boy included.I have a few of these, they came 2 to a case.This was factory overstock that never received anythingin their case other than the foam insert.Photo shown is of the actual item (or one just like it)that you will receive.