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Happens to me once in a while because I've replaced the game's .exe with a 4gb fix one.
you can try too to make a shortcut of the falloutnv.exe from your computer and try to view if it's work,
you have perharp a program in conflict with steam, you can look on this to try to find a program like an antivirus they can make probleme with steam...:
https://support.steampowered.com/kb_article.php?ref=9828-SFLZ-9289
*edit*
I actually uninstalled/installed this about 3 times total before I started rebooting my machine. I never uninstalled Steam, but I thought it might be worth a try since you tried my method. Try a registry clean up as well before trying this.
this anti virus don't make any problem...
you can try to look on this, to view if it's help, it's perharp a problem with steam and not the game, but not sure because your other game work, but you can try...
https://support.steampowered.com/kb_article.php?ref=8787-WYIL-1543