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Bird bones can be negated with adamantium skeleton but I've been playing a fister so that's a mandatory perk card for me. But I'd still take bird bones just because Marsupial+Bird Bones is the funnest ♥♥♥♥ in the game imho.
Unstable Isotope and Plague Walker damage is pathetic but can aggro neutral NPCs.
Herbivore and Carnivore are mutually exclusive.
Twisted Muscles lowers accuracy.
If you plan to use any mutation, you have no reason not to get all the others, aside from the ones stated.