A few hours in, no spoilers.

Summary:

I like it. It's good. This game isn't for everyone, but it's like if they took the scope and features of The Outer Worlds and made them significantly better. To me the Outer Worlds felt like a competent but sterile game that was not the sum of its parts. This game feels greater than the sum of its parts, but it still feels a little sterile.

Do you like Obsidian games? You'll probably like this one.

In Depth Feelings:

Writing:

The writing ranges from pretty great to average. There was one part where the dialogue felt like it was in the wrong order, but otherwise it's far more naturalistic about infodumping on players. Still some rough edges there where it's like, both of these characters know something and the tone feels like its directed at the player and not your character. At its absolute worst it feels on par with the best Bethesda writing from Skyrim on.

I'd say the only games that really crush this game in writing that I've played in the past few years are Pentiment, BG3, and Disco Elysium.

Note that the writing in this game is not like PoE1/2. It is more like BG3, Fallout, etc, since you're not getting character descriptions and characters have to animate their faces, it's not as verbose or rich in terms of flavour/description when interacting with the world. Do not expect the utterly lavish descriptions. Expect a conversational tone with some rich stuff thrown in.

Combat:

This surprised me the most. It's not the best first person combat ever but it is leagues above anything in the first/third person Bethesda and Obsidian titles I've played. Like it's not even a competition. I'd say this sets a new bar for this type of game where you can have multiple fighting styles and loadouts that you can mix and match. This is what Skyrim combat should have always been.

World/Level Design/Immersion:

The world looks pretty, but you can really tell this is built in Unreal Engine. There aren't a ton of interactable objects, which is I think the biggest immersion killer. The biggest upside to this, however, is picking up loot doesn't feel like a chore where you're sorting through everything around you. It has a very streamlined feel, for better or for worse.

The sparkly noise when some loot is nearby but hidden is kind of annoying and I wish it was off by default.

This is probably the weakest point of the game, and if you've played any game like this it will be the biggest change.

Graphics:

Honestly they are way, way better than the screenshots and videos made them feel. Being in the world and moving around makes a huge difference. My biggest gripe looking at the game pre-release was how noisy the visuals were (like, it felt like your attention was being drawn everywhere), but when in a 3D space and looking at things from multiple angles you can really feel where your attention is meant to be drawn.

I do have ray tracing on, so that might make all of the difference.

Gamefeel:

Picking stuff up. Attacking things. Talking to people. Moving around feels nice. Dashing feels like the perfect speed. Dodging feels great. Basically if you press a button, it feels good. Even collecting items feels significantly better than most first person RPGs IMO. Even if you were picking up a thousand little items like Fallout 4 or something, this would be a massive upgrade.

UI:

Easily the second weakest part so far. When picking up items the info box feels like it should be a little bigger (even if picking up items feels elegant). The tutorials sometimes just infodump a huge wall of text when opening a menu for the first time. The battle UI is noisy. Dealing with items/loadouts/equipment isn't too bad or anything, and you can find everything you need--the main issue here is the UI doesn't know what information to put emphasis on with colors, sizing, saturation, fonts, etc. I'd say it's competent, but it does not stand out in any meaningful way.

Consequences and Roleplaying:

There are a lot of dialogue options for your origin and stats. They come up like every other dialogue choice. Some of them do not seem like the ideal thing to say in a situation (as in, it's the player or character making a bad choice on what to say, not the writing of the lines themselves, so very Obsidian in that regard).

The character creation is not as robust as I would have hoped. Biggest gripe is the Godlike visuals do not seem to be well-integrated into the other elements of the character creation process. So like, there are tattoos, but they feel like generic textures instead of tattoos that were made for someone with a bunch of weird shit growing on their face. The places where these items grow is not super dynamic. It's mostly around the eyes and skull. I would have really hoped for other races in the PoE universe. Faces and hair options are decent.

It's hard to gauge long-term consequences from how early I am in the game.

Technical Issues:

The only technical issue I have encountered (and I am one person with one computer) is an error message saying the game crashed after I have successfully exited to desktop and everything has saved properly.

Would I Recommend This Game?

If you like Obsidian and Bethesda first person games, you'll probably like it a lot. If you are using this game as a stepping stone into the genre from a 3rd person action game or something, you probably won't know the sort of things you're missing out on. I'd recommend this game to everyone at a discount so far.

Is it worth early access? I don't think you're missing out on a revolutionary game here, so probably not.

Is it worth full price? If you have the money, I'd say so. If you're budgeting for like ten different games this year and have to make hard choices, I'd wait a couple of weeks to judge.

Is it worth with or buying gamepass? 1000% yes. Unquestionably.