Okay... I've started the game!
Had a few problems at first; I tried the Online option but couldn't join a server. It seems that people set up their own servers and most of them are password protected. I tried joiing two that weren't but with no luck.
Anyway - then I realised that the best way to start is probably through single / co-op option. You get an opening cinematic and then you create your character. Yes, you can set endowment / breast size and the animations are ridiculous
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Starting the adventure, it's a little unusual as you are - literally - stark bollock naked. It's intriguing as you don't really get any guidance at all; you are dumped in a wasteland and it's up to you to clothe, arm and feed yourself. You have to work out the controls and commands and this makes a change from usual.
Forty minutes or so in and I like it. It seems that the more you learn about the game, the more your options open up. Oh, and the music is pretty epic.