http://images.eurogamer.net/2013/articles//a/1/7/9/1/5/9/2/andcwu.jpg.jpg/EG11/resize/1920x-1
Looks like an upgraded Fallout 3/Skyrim to me.
Last Bethseda game that was "cutting edge" graphics wise was Oblivion and they had to butcher their preplanned AI system to make it look like that. After that they sacrificed graphics for their obsession with big dynamic world, i.e. every item being interactable, every NPC having a schedule, etc.
Though what's puzzling is that they make a seemingly important character like your husband/wife such a generic potatoface.
That's ... pretty horrible, graphics-wise. I mean, it kind of looks like an old version of the Sims, a few years back.
Well, of course, it's from console version.
NV had tons of utterly useless locations that were added to just increase the number of map markers.
"Deserted shack" for instance is nothing but an empty shack with a healing powder and some bottle caps.
http://fallout.wikia.com/wiki/Deserted_shack