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This edition perfects Fallout New Vegas by including all the patches and dlc but all of the ingenious mods will keep you hooked years after.
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The one perk per level mod is really good with this game
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so i could try a run through with some mod's (Sawyer's mod to ramp up the difficulty, a Radio Active Channel or Radio Free Wasteland mod for alot more period appropriate music, Nevada Skies mod for weather, etc...
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I still love to play though, just need to ease off the mods or get myself a better computer.
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Personally, I would recommend just continuing with FO3 (download some mods from Nexus or something) until Bethesda finds a better solution than Steam and continuous online monitoring of your gameplay.
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I recommend some mods and use the pcgamingwiki.com to tweak the game.
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If you are like me, and don't enjoy gore in video games (I don't need a game to be "realistic" in that way, it just grosses me out), there are mods which remove the majority of the gore
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I've seen all sorts of amazing tweaks and mods.