As an artist you are supossed to look around you. Some how they missed that fact when creating the graphics for Fallout.
The sound is acceptable. There is a constant sound of the wind whirling on the ground which is good and believable. Besides that, there is nothing to mention.
The Ai in Fallout 3 is plain stupid. You don't have to use tactics to lure or sneak in on your opponents. Just go as close as you possible can en empty as many clips in their head as you can. They will even follow you in to a room with only one door to take you down with a gun instead of throwing at grenade in there.
So I don't care if it similar to another game. Point is that Fallout 3 is crap. The graphics is ugly and the game play is repetitive. AI is stupid and characters act like idiots. The VATS looks nice the first 3 times and then you would wish they would have skipped it. There is nothing about Fallout 3 that impress me.