Operating since at least 2075, the spa was owned and operated by Edna. Looking to increase productivity, Edna sought to purchase a Mister Handy. The salesman assured her that it would do the work of two employees, which she was hopeful for, otherwise she would rather have spent the cash on a new sauna for the spa. The Mister Handy arrived on February 22, 2075. When she turned it on, it stated that its name was "Z43126." She decided to rename it "Beckham" after the dog she owned in her teenage years.
Honey treatments were popular but the materials were expensive, so she sent Beckham out to look for natural hives in the area. She was not able to offer discounts in the winter months, causing complaints.
Some time, with the return of people to the region following the exodus caused by the Scorched Plague, a band of Blood Eagles constructed a fortified camp on several rooftops in town. The center of the camp was directly above the spa. Beckham, meanwhile, was still stuck in the fearful routine, though he could be helped by the Vault Dwellers of Vault 76.
Berkeley Springs Spa appears in Fallout 76.