I cannot say much more than that. Honestly though, it's in beta, but elitism seems to be dragging the difficulty into unapproachable and unplayable ranges. Where to begin.
The sleep/food/water is fine, it's being adjusted but it in of itself isn't the biggest problem, in fact it's nice for a bit of roleplaying.
The realistic damage is fine, as the player isn't completely gimped now and can take enemies down, though people are complaining of bullet sponges and 2-3 shot deaths at 10 end, so I am suspicious.
The major problem is the save on sleep only and no fast travel. No fast travel isn't a huge one by itself, but the save only on sleep merely inreases the iteration time. I got bored after running back to sanctuary after two hours of play because I found myself endlessly running back to a bed to sleep. Not to mention how crashy fallout 4 can be thanks to the ILS issues that I have making it unplayable.
They also lowered carry weight so much that they just as well have removed all weapons but semi-auto rifles and actually nerfed it further, I guess to appeal to elitists even more.
It's in beta but, I am not impressed and I won't be surprised if it turns out to be a piece of shit that only intolerant elitists enjoy.
It's CO all over again.