By now most people are familiar with the Fallout series. Bethesda's reincarnation of the games brought a whole new audience and some wonderful changes. It's quite interesting to see that some of the original folks from Black Isle studios have come to work on it. Is this nuclear wasteland worth scavenging once more or will you only be finding scrap metal in those lockers?
In short, this game is just a clone of Fallout 3 with a different story. Some improvements have been made such as true iron sights, crafting, and customizing. There's just really not enough new here to consider this a full game, rather an expansion. But if you liked Fallout 3 chances are that you will enjoy this game.
Graphically the game hasn't changed at all. In fact, it might have been a step backwards considering all of the ridiculous glitches in this game. The character models are still bland and the environments are flat and lack detail. Style is still there but it's something that we've come to expect from Fallout.
The main storyline, compared to Fallout 3, is significantly weaker and side quests seem more interesting. You're not as connected to the story as I would have liked. The voicing of the characters, however, is still pretty solid. Again, to be expected.
Now for my largest complaint.
The game is broken. Not broken as in "easy" or "exploitable". Broken as in "you can't play the game for an hour without something going wrong", broken. Save often and don't get to attached to your files. I've had files corrupt, companions disappear, quests that never finish, and people spawning with just their underwear.
Fallout: New Vegas isn't a bad game. What's there is great, when it works. Fans will probably want to pick this up but save your caps and just go play some more Fallout 3.
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"It was so offensive to me"

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Kinda reminds me of miasmata also with how the navigation works. Not to miasmata's extent but definitely in the same vein