I think it would be neat if they made it so that light and darkness has more effect on how well you see and how well enemy mobs can see. Like nibbles says he sees perfectly fine IRL when outside in the dark. But what if nibbles had to go from complete darkness to an area with light then back to complete darkness again? that kind of transition will mess up your natural night vision cause your pupils need time to adjust. Its why your eyes hurt when you wake up at night, go into the bathroom and turn the lights on. Your pupils are fully dilated and that sudden burst of light hurts, but your pupils gradually close letting less light in and then making it not hurt so much.
It would also be nice if there was also some tactical advantage to having lights. Sneaking up on a mob in a poorly lit area and hitting them with a high power flashlight can dazzle them. Or better yet what if mobs also reacted to your pipboy flashlight? that one would probably have to be a game option that you can turn off/on though cause it might be too hardcoe for some players. Also if at night with no moon out, the game was a looooot darker maybe that could give the devs or modders an excuse to add in night vision goggles or make it a standard feature/toggle in power armor helmets. Maybe also add in FLIR with white-hot/black-hot, or Predator vision or something like that.