Recommended to me a million times from different directions, I had to try at some point. After a grueling installing process of mods through viva new vegas, it was finally time. I did not play with any survival mechanics, as I've never enjoyed those. The guns feel nice, but combat is pretty boring. The quests and conversations are well written, the world/setting is really cool. The gameplay just never really got there for me. Perks don't change quite enough, and with auto-inject stim paks there's not much danger.
Honest Hearts would get an 8/10, great area. Old World Blues a 7.5/10 mostly for the silliness/humor while still providing background into the world. Lonesome road is quite boring, 5/10. Dead money has great companions but terrible gameplay 4/10.