Fallout 4's 'next gen' update is over 14 gigs, breaks modded saves, and doesn't seem to change much at all

Fallout 4's long promised next gen (really current gen) update is finally here after a two-year wait since its initial announcement, but it's not a winner on PC. We anticipated there would be the usual issues with mod compatibility (see the Fallout London devs delaying their highly anticipated project), but PC players aren't getting much benefit from the ~14.4 gig patch...
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