Fallout: New Vegas - J.E. Sawyer Mod v5.1
 

JE Sawyer has released v5 and then subsequently v5.1 of his "hardcore" mod for Fallout: New Vegas. Follow the link for the notes.
More information.

Cool loved his mod and game. Better then Fallout 3 BY FAR. Unfortunately my PC crashed when I was half was through the game…will have to wait a few years and replay it.

This is certainly on my list of mods to try out, so thanks for the new update. I've still got Old World Blues to playthrough and another new character build in mind, so this should fit the bill nicely.

Prepare to die a lot in OWB (or at least start the DLC with TONS of ammo). Level scaling, parachuting enemies (think DA2) that take a magazine full of .45 in the head to die. Atmosphere is good but story is a bit too tongue in cheek for my liking.