Agreed, Survival Mode would have been a more accurate way to describe it but it added a great degree of challenge to the campaign and made you pause to consider what you kept in your pack after looting a location or mob.

My only lack of satisfaction with it was I wished it would have made the negative effects of exhaustion, starvation, and dehydration more pronounced.

What I'd like to see regardless of difficulty setting:

- Food and water that I'm compelled to use regardless of difficulty setting, and without a bunch of arbitrary meters to micromanage. Make Stimpaks rarer, and add slow health regen to food items; that'll do it well enough.

- Sleeping doesn't heal you, but Well Rested benefits justify sleeping regularly.

- Stimpaks heal over a short period of time, so you can't stack them from the inventory menu. According to reports from Quakecon, this is the case and they actually play an animation.

- More concern for environmental hazards.

As it was, I didn't really feel like New Vegas's hardcoe Mode was the best way to improve the resource management mechanics.

For me NV had the right idea. You need to drink, eat and sleep in order not to die. Ammo has a weight.

Now what i'd like to see is things get actually more rare as ammo and caps were still bountiful. That could probably be a bit rarer to give perks some more use and really have the player think about some ammo economy. The times i actually bought ammo from a vendor were rare indeed.

And for me personally, i didn't like the sleeping that much actually. It felt to distruptive to gameplay. Atleast i could eat and drink anywhere as long as i was prepared. But to sleep i had to go to specific locations, burn through a bunch of game time, wake up and have to eat and drink again.

So i'd be content with having to eat and drink, and ammo/caps being rarer to find in containers and on enemies.

* Satiation, thirst and sleep penalties when you don't look after yourself. But not 'too realistic'. Perhaps penalties start if you haven't eaten for 3-4 hours real time.

* Realistic carry weight and capacity. Only being able to 'hold' 2 primary weapons and 2 pistols. I really despise the magic bag effect.

* No pausing of time when lockpicking etc. You should have to pick the right time!

* Weather consideration (ala Frostfall from Skyrim).

Would love to see a hardcoe Mode with basic needs (hunger, thirst, sleep deprivation), but I imagine as was the case with New Vegas, a mod will be required to give it some teeth, so you actually might die from starvation or dehydration if you're not careful.

(In the vanilla version of hardcoe mode in New Vegas, food and drinks were way too plentiful across the Mojave, and you only needed to sleep about once per week or so.)

My wishlist would include more varied visual effects for using chems/alcohol and some features from Arwen's Realism Tweaks like infections, food poisoning, craftable bandages, tourniquets, splints, blood transfusions, etc.

Some examples from the mod:

Not a huge fan of the perma-death modes in games because either you rarely die, in which case the combat encounters feel too easy, or in my case, I die frequently and never make it out of the tutorial.

It was fun when I played it but I haven't seen any of the recent updates.

I like this. I got tired of the constant prompts telling me to eat, drink and sleep. Started to get very micro-managey tiresome after a while. The rest of it though, loved it.