Yeah, “hardcore” is just a label, maybe not the best one for that mode. It only increases slightly the difficulty, and the survival bit is more a flavor than a real problem.
The thing these type of survival modes need to really work is a time limit in the game. Hard and annoying by themselves, i know, but it’s still the truth. Having to sleep, search food & water, having to go to a doctor to heal a limb, none of that is a problem because you have infinite time to complete the game. If you would have a timed objective like in Fallout 1, then things like chems that permit you sleep less, or having a doctor’s bag in hand instead of using fast travel to heal you would be really useful and you would have to make choices: do i want to return to my house just to replenish ammo and switch weapons, or should i advance because i can’t waste time?
I.e. in Fallout 1 i remeber hvaing to chooose between sleeping in a paid motel to recover my health (cheap, but wastes hours of time) or using a pair of stimpacks (rare, expensive, but instantaneous).
And well, in general because the game is so big, with so many places, each place with rooms, each room with some containers, each container with 0-4 items, in the end the game if chock full of resources. Weapons, ammo, health items, drugs, etc. It’s something more or less needed to make exploration engaging, but it fucks up the difficulty. It’s the same problem that in Fallout 3.
I wanted to comment another aspect of the game, this time positive, the combat and the guns. We all know how in lots of hybrid action/rpgs games the developers make the mistake of having crap shooting with weapons of incredible poor accuracy, part because the weapons are too tied to the characters stats, part because starting weapons are very different to the highend weapons. or perhaps because they don’t want to go too far away from the RPG roots. It’s not the case here, weapons have nice animations, nice sounds, nice feedback when you kill something, and good accuracy since the beginning. They also evade making monsters with a very high amount of health (well, mostly) which are not fun to fight.
The ironsights, weapon mods and sheer variety of weapons finish the job.
Great job by Obsidian here.