| Accolades for Fallout |
| Award | Date of ceremony | Category | Nominee(s) | Result | Ref. |
| American Cinema Editors Awards | March 14, 2025 | Best Edited Drama Series | Ali Comperchio (for "The End") | Nominated | |
| Art Directors Guild Awards | February 15, 2025 | Excellence in Production Design for a One-Hour Fantasy Single-Camera Series | Howard Cummings (for "The End") | Won | |
| Artios Awards | February 12, 2025 | Outstanding Achievement in Casting – Television Pilot and First Season Drama | John Papsidera, Julie Tucker, Ross Meyerson | Nominated | |
| Astra TV Awards | December 8, 2024 | Best Streaming Drama Series | Fallout | Nominated | |
| Best Actor in a Streaming Drama Series | Walton Goggins | Nominated |
| Best Actress in a Streaming Drama Series | Ella Purnell | Nominated |
| Best Guest Actor in a Drama Series | Kyle MacLachlan | Won |
| Best Directing in a Streaming Drama Series | Jonathan Nolan (for "The End") | Nominated |
| Best Writing in a Streaming Drama Series | Graham Wagner and Geneva Robertson-Dworet (for "The End") | Nominated |
| Cinema Audio Society Awards | February 22, 2025 | Outstanding Achievement in Sound Mixing for Television Series – One Hour | Tod A. Maitland, Steve Bucino, Keith Rogers, Mike Marino (for "The End") | Nominated | |
| Costume Designers Guild Awards | February 6, 2025 | Excellence in Sci-Fi/Fantasy Television | Amy Westcott (for "The End") | Nominated | |
| Critics' Choice Super Awards | August 7, 2025 | Best Superhero Series, Limited Series or Made-for-TV Movie | Fallout | Nominated | |
| Best Actor in a Superhero Series, Limited Series or Made-for-TV Movie | Walton Goggins | Nominated |
| Best Actress in a Superhero Series, Limited Series or Made-for-TV Movie | Ella Purnell | Nominated |
| Best Actor in a Science Fiction/Fantasy Series, Limited Series or Made-for-TV Movie | Walton Goggins | Nominated |
| Dorian Awards | August 12, 2024 | Best TV Drama | Fallout | Nominated | |
| Best TV Drama | Nominated |
| Most Visually Striking Show | Nominated |
| The Game Awards | December 12, 2024 | Best Adaptation | Fallout | Won | |
| Gold Derby TV Awards | August 14, 2024 | Drama Series | Fallout | Nominated | |
| Drama Actor | Walton Goggins | Nominated |
| Drama Guest Actress | Dale Dickey | Nominated |
| Drama Guest Actor | Michael Emerson | Nominated |
| Kyle MacLachlan | Nominated |
| Performer of the Year | Ella Purnell | Nominated |
| Golden Joystick Awards | November 21, 2024 | Best Game Adaptation | Fallout | Won | |
| Golden Reel Awards | February 23, 2025 | Outstanding Achievement in Music Editing – Broadcast Long Form | Clint Bennet, Christopher Kaller (for "The End") | Nominated | |
| Golden Trailer Awards | May 29, 2025 | Most Original (TV Spot) for a TV/Streaming Series | Amazon MGM Studios / Aspect (for "Wasteland Review") | Won | |
| Best Action/Thriller TrailerByte for a TV/Streaming Series | Prime Video / Ignition Creative London (for "Doom Scrolling") | Won |
| Gotham TV Awards | June 4, 2024 | Breakthrough Drama Series | Fallout | Nominated | |
| Outstanding Performance in a Drama Series | Walton Goggins | Nominated |
| Hollywood Music in Media Awards | November 20, 2024 | Music Supervision – Television | Trygge Toven | Won | |
| Make-Up Artists and Hair Stylists Guild Awards | February 15, 2025 | Best Period and/or Character Make-Up in a Television Series, Television Limited or Miniseries or Television New Media Series | Michael Harvey, Kim Amacker, David Kalahiki, Mara Palumbo | Nominated | |
| Primetime Creative Arts Emmy Awards | September 7, 2024 | Outstanding Emerging Media Program | Fallout: Vault 33 | Won | |
| September 8, 2024 | Outstanding Fantasy/Sci-Fi Costumes | Amy Westcott, Amy Burt, Wendy Yang, Jonathan Knipscher, and Cherie Cunningham Collins (for "The End") | Nominated |
| Outstanding Period or Fantasy/Sci-Fi Makeup (Non-Prosthetic) | Michael Harvey, Kimberly Amacker, and David Kalahiki (for "The Head") | Nominated |
| Outstanding Prosthetic Makeup | Jake Garber, Rich Krusell, Lindsay Gelfand, Gregory Nicotero, Vincent Van Dyke, and Lisa Forst (for "The Beginning") | Nominated |
| Outstanding Main Title Design | Patrick Clair, Lance Slaton, Raoul Marks, and Scott Geersen | Nominated |
| Outstanding Music Supervision | Trygge Toven (for "The End") | Won |
| Outstanding Picture Editing for a Drama Series | Ali Comperchio (for "The End") | Nominated |
| Yoni Reiss (for "The Ghouls") | Nominated |
| Outstanding Production Design for a Narrative Period or Fantasy Program (One Hour or More) | Howard Cummings, Laura Ballinger Gardner, and Regina Graves (for "The End") | Nominated |
| Outstanding Sound Editing for a Comedy or Drama Series (One Hour) | Sue Gamsaragan Cahill, Daniel Colman, Joseph Fraioli, Jane Boegel-Koch, Sara Bencivenga, Jonathan Golodner, Karen Triest, Randall Guth, Christopher Kaller, Clint Bennet, Nancy Parker, and Katie Rose (for "The Target") | Nominated |
| Outstanding Sound Mixing for a Comedy or Drama Series (One Hour) | Keith Rogers, Steve Bucino, and Tod A. Maitland (for "The Target") | Nominated |
| Outstanding Special Visual Effects in a Season or a Movie | Jay Worth, Andrea Knoll, Grant Everett, Jill Paget, Jacqueline VandenBussche, Devin Maggio, Andreas Giesen, Ahmed Gharraph, and Joao Sita | Nominated |
| Outstanding Stunt Coordination for Drama Programming | Casey O'Neill | Nominated |
| Outstanding Stunt Performance | Justice Hedenberg, Hannah Scott, Adam Shippey, and Noelle Mulligan (for "The Target") | Nominated |
| Primetime Emmy Awards | September 15, 2024 | Outstanding Drama Series | Jonathan Nolan, Lisa Joy, Geneva Robertson-Dworet, Graham Wagner, Athena Wickham, Todd Howard, James Altman, Margot Lulick, James W. Skotchdopole, Stephen Semel, Karey Dornetto, Carson Mell, Kieran Fitzgerald, Jill Footlick, Noreen O'Toole, Jay Worth, Crystal Whelan, Halle Phillips, Gursimran Sandhu, and Skye Wathen | Nominated | |
