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Jonric at RPG Vault has an interview with Fallout 3 composer, Inon Zur:
More information.Jonric: What were the major considerations that factored into your being selected to create the score for Fallout 3?
Inon Zur: I think it was the combination of music styles that I have created, especially the ambient music, which is almost like sound design, but is also mixed with orchestral elements. They thought it would really capture the attention of the fans because they were looking to give the score a different angle from the music that was in the previous Fallout games. And this is why they went for my style - because I could give them the ambience and the weird decadence plus an almost low-fi sound, but also bring up some more dramatic, orchestral elements with it when needed.