Sad to say my first impressions here are terrible. The graphics are fine and so on, but the whole game stinks of consoleitis. Every single bit of the interface is made for a controller, and it's actually a terrible experience to play with KBnM. When it's even worse than FO3/NV and Skyrim, that should say a thing or two. Sometimes they actually expect you to use both the arrow keys and wasd for things, simultaneously, and don't even get me started on the conversation picker.
Ah well, I got used to other horrible UIs so I'll get used to this.
The complaints about mouse acceleration and smoothing are also spot on. Actually aiming is damn near impossible. I'll be having to dive into the guides I linked above to try and salvage this mess.
I am very disappointed at this state of affairs. I could play FO3/NV and Skyrim vanilla, modless, but this is going to take a lot of people a lot of manhours to unfuck.
Story and world-design seems to be good though, but don't take my word for it just yet. I'm not that far in.