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https://www.pcgamingwiki.com/wiki/Games_for_Windows_-_LIVE
I can confirm that achievements are working perfectly and adding Gamescore to my Xbox Live profile normally. Sure, it would be fun to have Steam achievements, especially since they would combine with the other Fallout games, but this is far better than nothing imo.
https://i.imgur.com/zEO7D7B.png