The Fallout people made a new RPG called Arcanum... has anyone played?
Ah, one of my favorites of recent years. Flawed, yes, but still a lot of fun once you get past the slow start (all bugs have now been patched, I think). Sure, it's not as good as Fallout...what is?
It's definitely one of those games that polarizes people into "love it" or "hate it" camps. But considering how cheap it must be now I would give it a whirl if I were you. The game's setting is steampunk so it does include some swords & sorcery, but you don't have to use them. Try the other side of the coin and play as a technical character--build your own guns and armor and then take out your frustration over the glut of fantasy RPGs on the poor sword-wielding inhabitants of Arcanum.
Other than that there's not much to choose from in terms of non-fantasy CRPGs.
The role-playing genre is stuck in fantasy mode and probably will be at least until the economy improves. The other games I can think of (besides those already mentioned) are mostly reaches:
Anachronox --> Okay, this was a *REALLY* flawed game. I wasn't crazy about the "console"-ish feel but it did have a lot to like (original space setting, original and interesting NPCs, semi-interesting plot, quirky humor). Too bad all of that was buried under bugs, bugs and more bugs. I haven't played since my first attempt was stopped cold by a game-killing CTD during the final boss battle (arrgghhh!!!), so I don't know whether patches eventually solved the many problems.
Septerra Core --> A linear console-style game a la Final Fantasy. IIRC it has both fantasy and sci-fi elements, just like FF. Personally I despised it (interesting plot, but repetitive random battles drained the fun from the game for me) but I know people who really enjoyed it.
Anarchy Online, EVE Online, Neocron --> Sci-fi/post-apocalyptic MMORPGs. Haven't played any of them, don't know anything about them.
Wasteland, Fountain of Dreams --> Prequels to Fallout, but not as good (IMO). Of the two play Wasteland first, but if you really can't stomach very old games don't bother with either title.
Privateer, Elite, Freelancer --> Space sims a la Wing Commander, but with RPG elements. Privateer is very old and Elite is ancient.
System Shock 2, No One Lives Forever 2 --> FPS's with slight RPG elements like Deus Ex. SS2 is a kickass game I highly recommend to everyone. NOLF2 is a good FPS too, but its RPG elements are almost nonexistent.
Sid Meiers Pirates!, Sea Dogs, Pirates 2 (to be released) --> Strategy games with slight RPG elements. Pirates is an old classic. Sea Dogs sounds like an updated version of Pirates that I'll eventually try to hold me off until Pirates 2 comes out.
Knights of the Old Republic (to be released) --> Yeah, it's still fantasy, but it's *space* fantasy so that's...uh...kinda different, I guess.
Vampire: The Masquerade - Bloodlines (to be released) --> From the Fallout team, using the Half-Life 2 engine...sounds promising. Steer clear of the first Vampire: The Maquerade game (Redemption), which is utter crap.
You might also try the adventure genre as a whole if you haven't already, since there are many great non-fantasy titles to choose from (even if many are a bit dated). IMO there's quite a lot of overlap betwen adventure and role-playing video games.
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