I posted this on r/Starfield and decided to post it here as well for spreading the good news.

From the Beta and no mods I started a new toon and got to level 62. Then played my old superpowered 200+ lvl. Everything MAX (extreme) difficulty. Here is what I found.

Things that were completely useless or almost useless before THAT NOW MATTER:

-Food (stay fed to get a buff or malnourished get a debuff)

-Drink (stay hydrated to get a buff, or dehydrated to get a debuff)

-Aid items (bandages, etc.)

-Kitchens (to find food/drink)

-Previous useless chests and containers (to find aid/food/drink)

-Doctors and medical shops (to remove injuries or afflictions)

-Spacesuits (need resistances now)

-Spacesuit modifications (above)

-Companions in combat (harder enemies)

-Companions as mules (everything weighs)

-Flanking enemies (harder enemies)

-Ammo conservation (ammo weight)

-Environmental Conditioning Skill (resist planetary hazards)

-Nutrition Skill (amplifies food/aid)

-Cellular Regeneration Skill (heal combat wounds)

-Decontamination Skill (above)

-Commerce Skill (things more expensive, vendors less money, need for shipbuilding)

-Gastronomy skill (food)

-Leadership Skill (combat)

-Ship Command Skill (Space combat)

-Xenosociology (probably good vs hard aliens, I have not tested this)

-POIs in any planet that have hazardous environment (you can go to a civilian outpost to regen your suit environmental protection)

Thanks Bethesda for making things matter (shoulda been from launch). Feels like 95% of the things in the game matter now. The last 5% of things that dont matter are the ones related to the [cut] fuel usage mechanic and outposts.

Have fun with the update!!