so u have points of interest : helios / black mountain / scrap yard / lake mead water stations ( there are none but u get ideea ) - maybe some could be changed
faction : super mutants , BoS , Legion , NCR , Securitrons , Boomers , Bright Followers ,
every faction would have a quest that makes them ready to assault and defend interest points and ally / or not with other factions - reputation with each would influence decisions
a back end story could be that in the first there could be on only NCR , Legion , and for the other factions would join to help one or the other side , or make separate factions and ally with other factions depending on how the courier decides to end the quest