I created dozens of characters and played for hundreds of hours and I now find that I can create a pretty decent looking character in OB. Sure they still look a little like a reanimated meat sack but I think they look about as good as they can be without mods. In Fallout 3 and NV however, I have, maybe, only created a handfull of 'non monsterous potato' people. For some reason I just can't get on with it.
I blame the lighting in the sewers/prison compared to lighting outside for disparities in appearance in OB.