@icedquinn I saw the game in fallout 4. Someone had a vision and it was interrupted partway through and the game was released prematurely. It was supposed to be a harsh survival game.They added a little more of the survival elements in a mode that was added in a patch in like 2018 iirc. It adds a survival difficulty which makes rads extremely difficult to cure, adds hunger thirst and sleep needs, adds diseases and conditions like injuries, makes a crippled limb require a doctor to heal, etc.

Basically half the game is still missing after that patch.