There are some mods that add extra creatures, but I can't really recommend which is best. I can recommend something like the Rebalance module of Project Nevada that allows you to tweak your stats. You can make it so that a single bullet will kill you and the same goes for your enemies. Nevada Skies comes with a good Night Brightness Adjuster that can make nights quite a bit darker. Other then those I'd recommend going through Vault 34 with no companions, no HUD and brightness turned down.