You must have a gamer card and the Games for Windows LIVE Client installed. If you don't follow these links:
http://login.live.com/login.srf?wa=wsignin1.0&rpsnv=10&ct=1233257623&rver=4.5.2135.0&wp=MBI&wreply=https:%2F%2Flive.xbox.com%2Fxweb%2Flive%2Fpassport%2FsetCookies.ashx%3Frru%3DhttpsZ3AZ2FZ2FliveZ2ExboxZ2EcomZ2FenZ2DUSZ2FFlowsZ2FAccountCreationZ2FAccountInf%20
http://www.microsoft.com/games/en-us/live/pages/livemarketplace.aspx
Downloading/Playing Fallout 3 DLC
1. Launch the Games for Windows - LIVE Client (it's in your START menu) and sign in, then click Marketplace.
2. Click Add-ons then the Fallout 3 DLC of your choice.
Click Buy (if you don't have enough Microsoft Points, click Add Points to get more points).
3. Confirm your purchase, then click Download.
4. When the download is complete, launch Fallout 3 to enjoy Operation: Anchorage.
http://www.gamesforwindows.com/en-gb/Live/Pages/f3operationanchorage.aspx
IMPORTANT: You must play the game (have your character out and about in the Wasteland, not be in Fallout 3's menu system) for a couple minutes for the Operation: Anchorage content to appear. After a couple minutes, a radio beacon and the questline for "Aiding the Outcasts" will become available.
http://www.gamesforwindows.com/en-US/Live/Pages/fallout3thepitt.aspx
IMPORTANT: You must play the game (have your character out and about in the Wasteland, not be in Fallout 3's menu system) for a couple minutes for the The Pitt content to appear. After a couple minutes, a radio beacon and the questline will become available.
For Broken Steel
IMPORTANT: You must play the game (have your character out and about in the Wasteland, not be in Fallout 3's menu system) for a couple minutes for the Broken Steel content to appear. After a couple minutes, a radio beacon and the questline will become available. To begin the Broken Steel questline, you must complete the main quest by finishing "Take it Back."
For Point Lookout
You must play the game (have your character out and about in the Wasteland, not be in Fallout 3's menu system) for a couple minutes for the Point Lookout content to appear. After a couple minutes, a message will appear letting you know that a riverboat has docked at the mouth of the Potomac.
For Mothership Zeta
You must play the game for a couple of minutes in the Capital Wasteland for the Mothership Zeta quest to appear. Eventually, you'll receive an unintelligable radio transmission which will lead you to an Alien Crash Site. To find the location on your map, make "Not of This World" your active quest.
Moving DLC data files
Be aware that copying the raw files for DLC to the Fallout 3 Data puts your game at risk of crashing. Please be aware that this method of playing DLC outside of Games for Windows LIVE is not supported.
Cannot locate game saves after logging into GFW LIVE to play DLC
Your saves are kept in specific directories tied to your profile. You can go into your my Games folder and copy those saves over to your Profile's save game directory.
DLC is downloaded but my content is not appearing in the game
Make sure you're logged into your Games for Windows LIVE profile. Also be sure that your game has the most recent update (currently v 1.5). You can check this by going to the title screen, selecting Settings then Video. You should see the version # in the lower left hand corner.
For additional information on DLC through Games for Windows LIVE, you can visit the GFWL LIVE forums http://forums.gamesforwindows.com/t/1705.aspx. Additionally, you can find some helpful information at Planet Fallout http://planetfallout.gamespy.com/wiki/The_Pitt_FAQ.