Console fans of Fallout 4 looking for a challenge can now check out Survival Mode thanks to today's release. Strategy, exploration, resource management and roleplay will all play a part in creating "interesting choices".
Increased Lethality: You now deal, but also take, more damage. You can increase the damage you deal even further with "Adrenaline" – more on that in a moment. This makes combat more dangerous, which in turn slows you down and gets you to think about what you’re walking into. Combine this with it being much harder to save your game and suddenly each encounter becomes much more tense and dire.
Combat itself is also more strategic, because both you and enemies are more powerful; this means fights are about trying to use positioning and timing to get in your shots without taking enemy hits. This has an even bigger effect on melee players, who will now need to use their block/parry to keep themselves from taking damage during fights. While this change raises the skill necessary to play, those who opt into Survival know what they’re getting into.
Read the full blog on the Fallout 4 site.