Fallout 4

Persistent real-time gunfire and melee against human raiders, mutants, and creatures with heavy blood spray; the VATS system frames slow-motion killing blows.

The player crafts, buys, and injects fictional chems (Jet, Psycho, Buffout, Med-X) and drinks alcohol, with an addiction and withdrawal mechanic.

Optional real-money Creation Club add-ons are purchased with a non-refundable premium currency.

Strong profanity including 'fuck' and 'shit' appears in NPC dialogue.

The story centers on nuclear apocalypse, a murdered spouse and abducted infant, and questions of what makes synthetic people human.

Feral ghouls and mutants ambush the player in dark ruins, and locations like Dunwich Borers use dread-heavy Lovecraftian atmosphere.

The player can steal, pick pockets, and pick locks, triggering hostility from owners or guards.

Terminals and scenes reference raiders and gangs torturing captives, such as the Combat Zone and Pickman's victims.

Perks and weapons dismember enemies, blowing off limbs and reducing bodies to gibs on screen.

Mutated creatures such as dogs, radstags, and brahmin are fought and killed as ordinary combat.

Terminal entries and notes occasionally reference characters taking their own lives amid the apocalypse.

Optional romances with companions are implied and fade to black; occasional flirtatious dialogue and mild innuendo.

Creation Club purchases are entirely optional and not required for progression.