The effect of neutral interactions on scrape-off layer (SOL) turbulence is investigated in a continuum gyrokinetic code that has been coupled to a continuum kinetic model of neutral transport. This extends the work of a previous paper [T. N. Bernard et al., Phys. Plasmas 9, 052501 (2022)], which compared two NSTX SOL simulations in simple helical geometry, one with neutrals and one without. The former included electron-impact ionization, charge exchange, and wall recycling. Here, the case with neutrals is compared to a gyrokinetic-only simulation that includes an effective ionization source to separate the effect of sourcing from charge exchange collisions. It is observed that sourcing accounts for many features of the simulated SOL with neutrals, including density and temperature magnitudes and reduced normalized density fluctuations, but differences persist. In particular, a flatter density profile results due to changes in parallel transport when neutral collisions are included, illustrating the importance of neutral drag on global plasma properties. An analysis of coherent turbulent structures, or blobs, in these simulations demonstrates the case with neutrals has slower and larger blobs. A series of seeded blob simulations corroborates the blob velocity observation. In general, the blob motion does not contribute significantly to radial transport in these simulations.
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