Overall, I loved the experience. It was everything I had been hoping for when I had seen the trailers originally. In terms of the aesthetic, this game is an absoulte 10/10. The sound design of the monsters, environments, ambience and sound track are INCREDIBLE. They build an incredibly tense, oppressive atmosphere that kept me on edge as long as I was in the main dungeons, while having some peaceful short moments in very particular environments to break it up. You can really feel the Silent Hill influence and inspiration especially in the sound design. The gameplay is servicable. There was far more options in terms of weapons, armours than I was antipicating though I only used a couple, as the boss fights themselves are quite simple and relatively easy to beat especially with ranged weapons. Navigation in combination with the puzzles was UNRELENTING and at times tedious. I spent A LOT of time not knowing where I was as there's no marker on the map to signal where you are specifically aside from highlighting the room you're in, which wouldn't be so bad if there weren't so many branching corridors. This was something I did get better with and became less of an issue as I got a feel for the dungeoun layouts. I had also spent a lot of time trying to figure out where to go and being very confused only to realize I had missed a single room that held whatever was needed to progress, to then have that item activate something in a completely different area that I then had to somehow located with almost no indication of where it was. Quest items or puzzle locations are not marked on the map at all, so if you weren't paying attention to what corridors and hidden passages lead to which blocked off sections of the map containing the puzzles, you'll spend a lot of time wandering back and forth into locations you've already been to attempting to figure out how you got to another location. This frustraton is the only reason I'm giving it 4 instead of 5 stars.
The title says it all. Simply put, this is by far one of the best games I have ever played. Everything about Fallout New Vegas is so beautifully crafted, from the world, to the characters, to the story, the mecahnics, and everything in between. This is an RPG done right. (I own the game on Steam)