In short: Buy this game!

It is fantastic! I've already put 50 hours into it and there is so much more to see. I'm on my second run now which I'm going to dedicate to exploration now that I've got the main story line out of the way. The main storyline was amazing! I very much enjoyed playing through it. I chose to go with New Game+.

I'm playing at 4K and it seems to be locked at 60fps. That may not be the case if playing at 1080p, but I didn't test it. My settings are on high. So far it's stayed consistently at 60, but drops to around 30 - 50fps in new Atlantis. I've noticed two bugs so far, Sarahs eyes were closed while talking to me in the bank while I was discussing my house with the bank teller and an NPC spawned 12 foot off the ground and fell. Other than that everything has been okay bug wise. But let's be real, wouldn't be a Bethesda game without something quirky happening with the NPCs!

Going to add more detail to this review soon!