Lifthrasil: Ultima 5 - Lazarus A faithful recreation of Ultima 5 using a total conversion of Dungeon Siege, with added content, which fits seamlessly into the great writing of the original game. The 'dark path' has been extended substantially. Awesome music too.
I haven't played Lazarus, since I liked the original one so much.
But the similar The Ultima 6 Project is one of my favourite mods.
Other great ones:
Oscuro's Oblivion Overhaul
Sword Coast Stratagems for the Baldur's Gate game.
Small, but extremely effective: the UOP for Bard's Tale 3, which fixed the bugs that made the original unplayable (to me at least).
Plus probably many I can't think of at the moment.