Just the same, just as good as ever if still mostly the same. Quality of life improvements are very much noted and appreciated, only flaw is a lack of a real onboarding process and slightly imbalanced matching.

If game bad, why have over 150 hours played?

No but seriously, this is a diluted, crappier but better looking version of the other fallout games and it still beats ass (mods help, same as every other Bethesda game)