Fallout 4 VR is more or less the same game that was released back in 2015. Naturally, some things have changed in the transition to virtual reality, but if you look past the most obvious new elements it's still an easily recognisable experience to players of Fallout 4.
What's different this time around, aside from the fact that you're now in the middle of this post-apocalyptic wasteland yourself rather than staring at it through a screen, is that the game is controlled using Vive's motion controllers. To aim with the gun you now have to look down its sights, and if you want to have a look at the map you'll hold your wrist-mounted Pip-Boy up in front of your face.
To move around the world you can choose to use the default teleportation feature, or you can enable a more traditional control-scheme where you use the touch-pad on your left controller to walk around like you would in the non-VR Fallout 4. There are also a few so-called comfort settings to make this more bearable for those who worry about getting queasy, but our suggestion is to turn them all off, as they do their best to pull you out of the virtual world by covering your peripheral vision during movement.
These core elements work beautifully, and never before has the brutality of Fallout been more apparent. Heads might not explode in the most realistic of ways, but it feels utterly gruesome and almost a little too much. That is also what makes it so much fun of course, no matter how morbid it might be. But even though shooting a gun feels really rewarding it won't take long before you run into some issues. This is a Bethesda game after all.
The Vive controllers, as mentioned, have a touchpad that functions as a control stick. While these generally work well in terms of moving your character around, they don't fare as well in the game's various menus. The main issue is that they just aren't accurate enough, and this is a problem that rests with this game specifically. It almost seems like they're too sensitive, and far too often do we find ourselves fiddling back and forth between selections. Considering how prominent menus are in Fallout 4, you can likely gather how frustrating it becomes.
To make matters worse, what's up, down, left or right will actually change depending on what menu you're using. When you're in Power Armor, the Pip-Boy will just show up as a hologram in front of you, but on-foot it's mounted on your wrist. When you're using it you're holding the controller sideways, and the developer decided to re-orient the touch-pad commands around to accommodate for this.
In theory, it sounds like a good idea, but practice is another story, and we would have preferred it if there was an option to keep the same orientation across the board. That said, you can choose to have the Pip-Boy work like it does with the Power Armor, though doing so means that you'll no longer have it mounted on your wrist, and as such it is not as immersive as it could be.
Fallout 4 has a lot of options, and that's why it's all the more impressive that Bethesda has been able to map all actions to the Vive controllers with its limited set of input options. That said, there is a lot to keep track of, and looking things up is a complicated menu exercise.