No offense, but I don't believe you played The Witcher 3: Wild Hunt just because of all of this stuff you just said.
There are choices and consequences that happen throughout the video game world, depending on the choices you make, most of the people who die are not nameless peasants either they are either a Witcher, a wealthy person, a peasant, and so on etc.
We already know Bethesda Game Studios quest writers can write good or very good quests and our very own Gstaff plays The Witcher 3: Wild Hunt, so I'm sure he's giving feedback to Bethesda Game Studios quest writers to try and write more quests with choices and consequences depending on the choices you make.
Heck I'm 100% sure even Todd Howard plays it. Most video game developers play their competitions video games or RPG video games anyways.
I'm really hoping for The Elder Scrolls VI that Todd Howard will strive harder than ever before to have absolutely fantastically well written quests, with choices and consequences depending on the choices the Player Characters (PC's) make.