Well, personally I love how this makes my journeys through the Wasteland actually a struggle, where survival is difficult . . . but I'm just a bit bias about this mod,
What my mod does is balance things out, so that the NPCs and the PC are more equal. This is how Hit Points work out:
Default, with a player END+5; compared to NPCs END=5
Level 1: PC=200 HP --> NPC=120 HP
Level 2: PC 210 --> NPC=125
Level 10: PC 290 --> NPC=165
Level 20: PC 390 --> NPC=215
OK, so this was hardly fair; no wonder I got through the default game with just the Overseer's 10mm and Butch's Tunnel Snake jacket.
My Realism Tweaks, using and END of 5 again for both:
Level 1: PC=160 HP --> NPC=140 HP
Level 2: PC 160 --> NPC=145
Level 10: PC 160 --> NPC=185
Level 20: PC 160 --> NPC=235
And note that is for an average END (5), so you can adjust your difficulty, just by making a character with more END: 5 END=160 HP; 7 END=220 HP; 8 END=250 HP.
Plus you have to understand that this is just a tiny part of what my mod does, so you really have to look at the big picture . . . or just give it a try.
I'm writing the ReadMe now . . . so version 3.2 is done (just give me a few more hours to finish the documentation and package things up).