I found it boring and incredibly pretentious, and it's possible to suddenly die for seemingly random reasons - for example, I dropped the game after examining a parked car caused me to die. I don't remember the details as to how the game justified that because I was pretty fed up with it at that point.

If you really want another game with Fallout 1-like gameplay, check out Atom RPG. It's currently $6 on GOG so it's probably for sale on Steam too. I got stuck on that one too when I got to a point where my melee-focused build was causing me to get blasted to bits before I could even touch my enemies in a crucial part of the game, but at least I had dozens of enjoyable hours of gameplay before I got to that part.