My one gripe with the difficulty is that there's no hunger/thirst/sleep meters, this would be the icing on the cake, if you can Bethesda, please patch it in soon!

Lol, I guess you have been absent from the forums but these "where is hardcoe mode?" threads has been beaten to death. ^^

Bethesda has never done a "hardcoe Mode." I wouldn't hold your breath.

Wait a few months and I'm sure someone will make a mod for it. Personally I prefer the new "Survival" setting. The sustenance meters were just added little bits of tedium, so I'm fine with seeing them go, whereas the feature of hardcoe Mode that I actually liked (more challenging combat due to no longer having access to instant healing) has not only been retained but actually intensified, stims heal very slowly on Survival even compared to NV's hardcoe.

sorry m8, it ain't thar.

The higher the demand for it, the more likely Bethesda is going to put it on their priority list