Look up Zero Punctuation's review of New Vegas on Hardcore mode.
his stuff was pretty funny even if a bit overdone, wonder why it's not linked here near as much anymore.
links to these funny reviewers? i have a life and can't really keep up on all these goings ons
After 3 years even I am tired of it.
And I used to laugh my balls off every time I watched his reviews. But its mostly just the same old rants with a slightly different vocabulary each time. Once a week was too frequent. But back when he started you better believe no one would settle for once a month.
This thread caused me to re-evaluate playing on hardcore, so I looked up what you get for it, and no, it is definitely not worth it, especially on the PC. You get nothing to use in game, and no extra content, endings, etc.
So I disabled it and realized it was 90% of what was annoying me about playing New Vegas. Dehydration, Food, and Fatigued don't make the game any more difficult, just more tedious when you are walking around and all of a sudden you loose 10% of your carry weight because of dehydration. EDE dying every other battle also sucked. Also, I saved about 45lb of carrying capacity due to ammo.
So yeah, disable it.
According to the wiki, you can get a special item at the end of the game if you play the whole thing on Hardcore (never disable it).
Or you could just add the item by console command and forget about it.