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Is Old World Blues an XBLA download only? Because it's never at my local Gamestop and I really want to get it.

At this point, New Vegas does not have a Game of the Year Edition, nor any sort of hard copy for any of the DLC. Bethesda is really good about releasing premium content in physical form, though, and you should expect a physical release soon if DLC really isn't an option for you.

If anything, you can go buy Microsoft Points at Gamestop if you don't want to wait. I'm not sure how much it is, but it should equate to 10 dollars (I bought my copy off Steam because I own the game on PC).

Unfortunately for Bethesda (but fortunate for you and all your friends who own this game on X-Box 360), releasing a hard copy of the DLC that is separate from the game disk allows people to install the DLC on their hard drive without paying for any of the content, so long as they have access to a copy of the disk with the DLC on it. I got all of the DLC for Fallout 3 for free because my friend owned a copy of the Game of the Year Edition, which has all the DLC on a separate install disk.

Sadly, I set my XBL account up as a teenager so I can't get any of the New Vegas DLC unless it's in a store.

What do you mean by this? You can't pay for and download DLC if you're under 18, even if you buy Microsoft Points from an outside source?

If that's the case, there has to be some form of consent or way around this. I seriously doubt Microsoft would shoot themselves in the foot like that.

No, it means I can't download things that are rated M.

Ah. I wasn't aware that they enforced content ratings on DLC like that.

Unfortunately, I'm not sure if creating a new account solely for the purpose of downloading Old World Blues would be an option. Some games let every account on a console access the content, while some games restrict the content to the account that bought it. Though it's more than likely that it would work, you may end up wasting money.

The best I can do is to see if the Fallout 3 DLC works for all accounts on my X-Box, as that's the closest thing I can think of.

EDIT: Fallout 3's DLC does work between separate gamer profiles, so I'm almost 100% positive that the same thing goes for the Fallout: New Vegas DLC (Though you might want to wait for confirmation of this from someone who actually owns the game and it's DLC on X-Box 360). The best suggestion is to make an account that is over 18 so you can download Old World Blues and play it on your main profile. Keep in mind that you will have to access this account again if you need to download the DLC again for any reason.

Isn't there some way you can just change your account settings? Should be able to unless your parents password protected it.