Sanctuary Hills, before the war in, is a serene and picturesque suburban neighborhood. The community is filled with bright, colorful houses, well-kept lawns, and tree-lined streets. Nestled along a peaceful river, it exudes a sense of calm and comfort, reflecting the prosperity and optimism of the era. The neighborhood is quiet and family-oriented, with a strong sense of community and the charm of mid-20th century American suburbia.
After the war, the Sole Survivor seizes the opportunity to restore Sanctuary Hills with the help of the Minutemen, gradually bringing it back to its former pre-war beauty and making it a thriving settlement once again.