I'd prefer some sort of pick up throw system like amnesia has, which would get more powerful if you use telekinesis.
Well since I play modded Oblivion I use some mods like
Unnecessary Violence
http://www.tesnexus.com/downloads/file.php?id=24936
http://www.youtube.com/watch?v=2Yt_FdTIBeU&t=2m7s
Allow throwing all things at not only weapons some of them do more damage according to many parameters, all can thrown items but need to have eagle eyes and precise movements of the firm steady hand (be good in marksman skill and agile) to actually use such clutter as weapon, as well as throwing knives daggers, darts, axes and javelins.
MrMuhs Physical Throwable Crates n Chests Gold Edition
http://www.tesnexus.com/downloads/file.php?id=33404
http://www.youtube.com/watch?v=R73n6Huu7fg
I able interact with environment in better way since more items no more glued to places
Put it in its Place - Enhanced Grabbing
http://www.tesnexus.com/downloads/file.php?id=19847
And most of interesting NPC react on my acts in proper way, http://www.youtube.com/watch?v=xv49LK3lytI but they http://www.youtube.com/watch?v=8oujSeIeqhM, they much http://www.youtube.com/watch?v=h2ZLWLXNUZM they tryhttp://www.youtube.com/watch?v=L8gvcTLqzns and many more features, http://www.youtube.com/watch?v=m0K4xkCRLYI
Fearsome Magicka
http://www.tesnexus.com/downloads/file.php?id=30973
http://www.youtube.com/watch?v=EgkE0b88jJg&t=1m16s
Telekinetic Mastery
http://www.tesnexus.com/downloads/file.php?id=10144
http://www.youtube.com/watch?v=qAhatvMtOCA
http://www.youtube.com/watch?v=PzMIX0QLXZk
http://www.youtube.com/watch?v=qeufDh6ADJg
http://www.youtube.com/watch?v=ELY4JmCa8KA
PJs Telekinesis Spells
http://www.tesnexus.com/downloads/file.php?id=9225
http://www.youtube.com/watch?v=WGvt0m4sMwI
http://www.youtube.com/watch?v=NtLNsTgCok8
http://www.youtube.com/watch?v=_7GALnkk8Hk
Doc Magic
http://www.tesnexus.com/downloads/file.php?id=23813
http://www.youtube.com/watch?v=0IsXqcUlv_g
http://www.youtube.com/watch?v=5XK5A1EiFEw
http://www.youtube.com/watch?v=IHz7LcW2NRA
Telekineses was also enhanced by scripting it can be used in combat as well
All mods make interaction with world much more immersive the before and greatly enhance gameplay.