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My follower won't pick up items in the Nintendo Switch edition of Skyrim.

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Do you have any customized controllers, particularly the activate command? If so, this reddit thread mentions this might be a bug on the Switch version of Skyrim. Followers do not seem to pick up items unless the activate command is the default configuration, that being the A button.

Try resetting your activate command to be the default. A user on the reddit thread confirmed this was a solution for them.

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