its pretty simple, really. I was playing Fallout 3 and thought it would be cool if you could sneak up to an NPC and slit their throat. so I was thinking like a high-level perk that requires superior sneak and melee weapons skills, that when you make an sneak attack on an enemy NPC with a combat knife, say, you slit their throat, quickly and quietly, killing them instantly. Their DR or amount of health doesn't matter because you are close enough to go right past their armor and deal a fatal blow. Obviously, this wouldn't work on robots or bugs. so it only works on raiders (or humans), ghouls, and super mutants.