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|The following is based on Fallout Tactics and some details might contradict canon.|
First settled in 1829 on a site tentatively named Washington, the town was officially founded in 1830 as the county seat of McDonough County and given the name Macomb after General Alexander Macomb, a general in the War of 1812. War veterans were given land grants in the Macomb area, which was part of the "Military Tract" set aside by Congress. In 1855 the Northern Cross Railroad, a predecessor to the Chicago, Burlington and Quincy Railroad, was constructed through Macomb, leading to a rise in the town's population.
In 1899 the Western Illinois State Normal School, later Western Illinois University, was founded in Macomb. Representative Lawrence Sherman was instrumental in locating the school in Macomb. In 1903 the Macomb and Western Illinois Railway was built from Macomb to nearby Industry and Littleton by local financier Charles V. Chandler, though this railroad was abandoned in 1930. In 1918, construction on Illinois Route 3 was begun as a state financed highway from Cairo to Rock Island through Macomb; in the late 1920s U.S. Route 67 was extended along this route to Dubuque, Iowa.
Around 2197, the Eastern Brotherhood of Steel received a distress call from one of their squads acting as escort to a supply wagon passing through Macomb. A single unit was separated from the main group and the road behind him has been blocked off. The warrior and his team arrived soon, being attacked not only by Macomb raiders, driven by hunger, but also by civilians, who were hungry and desperate, as the Brotherhood of Steel supply wagons carry food, weapons, and medical supplies - the three most sought after commodities in the Wasteland. The vehicle and Pilot Christian, the driver were rescued, and all the opposition was killed. Three extermination squads were dispatched to Macomb to remove the assorted "riffraff": all the bandits and mad civilians who were probably still there. Those who weren't killed paid back the Brotherhood's "generosity" by serving in labor camps.
The only inhabitant of Macomb who wasn't hostile to the Brotherhood was Phillip Wilson, the town librarian. It is unknown what happened to him. Another person who did not initially attack when encountered was a hungry raider, hoping to trade the location of a key for food, but he inevitably attacked the warrior in desperation.
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The mission in Macomb is to transport a supply Hummer through a town full of barricades and ambushes.
Macomb appears only in Fallout Tactics: Brotherhood of Steel.