Do you concentrate on story or abilities?
Do you plan the sequence of major events and DLC?
I'm doing one final run before I get caught up in Skyrim (Presumably, that is. Fantasy seems sort of hollow to me now. We'll see).
Here's my plan; I'm wondering if anyone has any good ideas to share. --
Do early exploration around Goodsprings and Primm until level 5 or so. Activate ED-E.
Play first area of Lonesome Road to get Bedroll, Red Glare & unlock commissary.
Sneak up to Vegas to unlock Gun Runners, Clinic and Freeside Casino.
Do Outpost, Novac and Boulder quests; loot Nipton & all west, southwest areas.
Revisit Lonesome Road; play up to end of High Road.
Visit Vegas strip, deal with Benny. Don't visit House, yet.
Old World Blues.
Do all the outlying quests -- Freeside, Casinos, Khans, Boomers, NCR, etc, with general exploration.
Dead Money.
Complete Lonesome Road.
Commit to a faction.
Honest Hearts (It's just more fun at a high level)
Final wanderings.
Endgame.
What's your plan?