The difficulty balancing is nonexistent after completing some of the beginning quests. All of the enemies become bullet sponges while you're as weak as wet paper. I lowered it down to very easy and it doesn't change a thing. I like a challenge, but not when I have to use all of my very scarce and expensive resources to kill a couple mirelurks. Also, the economy is odd, you sell items for pennies while buying anything useful is over a 100 tickets. An example is Rad-away (the only thing you'll be buying due to extreme rads being everywhere) is over 200 tickets. I do not recommend this mod until they address these issues.