Originally Posted by killias2 
I get that people are cool with the idea, and I'm down with a little survival in my Fallout. However, neither of the originals really focused on this idea, and you can balance out leveling and progression without adding more comprehensive survival elements into the mix.
The bit that really stretched it for me was Dead Money. That was brutal. You really had to get by with what you got and if you got in there with low level you would get smacked hard with no way to get out.