Yes, pretty much exclusively. It is very much like “hardcore” mode in New Vegas, so I didn’t really see it as an improvement so much as a status quo. Ditto for preserving “true sights” concept from New Vegas. Overall, I found the characters and locations, lore/story lines, and especially dialog to be so flat it is just hard to get immersed. I optimistically got the “Season Pass” so maybe I’ll try again when last wave of DLCs come out.
So I imagine I'm going to sink many more hours into mods.