Graphics issues and bugs are annoying but not a total show stopper. Character customization is really lacking, the whole genitalia thing is just a gimmick to make you think you'll be able to put that level of detail into your character. In reality you pick a face, pick a hair style, pick a skin color. And thats it. NPC's that arent story line related arent even 2 dimensional, they're 1 dimensional. I talked to three strangers in a row who had the exact same voice lines. Besides shooting wanted criminals, theres very little to do.
This game does not live up to its hype, not by a longshot.