Okay so MCM is not showing up in the pause menu in any form for me.
my load order is:
FalloutNV.esm=1
DeadMoney.esm=1
HonestHearts.esm=1
OldWorldBlues.esm=1
LonesomeRoad.esm=1
GunRunnersArsenal.esm=1
CaravanPack.esm=1
ClassicPack.esm=1
MercenaryPack.esm=1
TribalPack.esm=1
Fallout3.esm=1
Anchorage.esm=1
ThePitt.esm=1
BrokenSteel.esm=1
PointLookout.esm=1
Zeta.esm=1
taleoftwowastelands.esm=1
TTWFixes.esm=1
More Perks.esm=1
More Traits.esm=1
WARZONES - Misanthropy Pure.esm=1
LawlessVegas.esm=1
Vault 101 Revisited.esm=1
SpeedyResources.esm=1
EnergyShield.esm=1
TTWVaultSuitHotfix.esp=1
TTW_StartupMenu.esp=0
ttw_wildwasteland.esp=1
TTWOptions.esp=1
TTW_StashPackOptions.esp=1
TTW_SpeechChecks.esp=1
TTW_OutcastTrading.esp=1
TTW_NoKarmaDCFollowers.esp=1
TTW_Reputation.esp=1
TTW_AnchorageCustomization.esp=1
More Perks Update.esp=1
More Traits Update.esp=1
PerkEveryLevel.esp=1
PMT - OWB - Hazmat Suit Tweaks.esp=1
PMT - OWB - Less Generous Sink Buddies.esp=0
PMT - OWB - Reduced Ammo and Items.esp=0
PMT - OWB - Reduced Big MT Spawns.esp=0
PMT - OWB - Reduced World Scrap.esp=0
PMT - OWB - Slave Collar Explosives.esp=0
PMT - OWB - Sonic Emitter Robot Damage Fix.esp=1
PMT - Responsive Kill Reactions.esp=1
WeaponModsExpanded.esp=1
WMX-ModernWeapons.esp=1
WMX-DLCMerged.esp=1
WMX-POPMerged.esp=1
EVE FNV - ALL DLC.esp=1
WMX-EVE-AllDLCMerged.esp=1
Anchorage+NV.esp=1
Real Weapon Names.esp=1
TTW Expanded DC Vendor Inventories.esp=1
CAGE 1.9.3.2.esp=1
LawlessVegas.esp=1
Treasure Maps_Bobblehead Edition.esp=1
TTW_Mojave Creatures in DC.esp=1
APMCraftingTTW.esp=1
Fafnir Fallout 3 Overhaul TTW.esp=1
S420EssentialCompanions.esp=1
CrowdedCities_v2.esp=1
EnergyShield_TTW.esp=1
Vault 76.esp=1
T3T_LCA_TTW_ImprovedWheatonArmory.esp=1
T3T_LCA_TTW_ImprovedNtlGuardArmory.esp=1
TTW_DartFix.esp=1
The Mod Configuration Menu.esp=1
