To achieve what the community considers "High Quality," install these in order:
Many "high quality" enthusiasts chase 60, 120, or even 144 FPS. In vanilla versions past 1.10.163, increasing the frame rate above 60 would break the game's physics (making objects fly across the room or locking terminals).
Fallout 4: Game of the Year Edition v1.10.1630 represents the culmination of Bethesda’s post-launch efforts to stabilize, expand, and support Fallout 4’s sprawling world. While the edition and patch mitigate many early issues and enrich content via DLC, legacy engine constraints and certain design decisions limit the game's potential. Nonetheless, strong mod support and continued patching keep Fallout 4 relevant in the RPG landscape.