I think that the reason that people can like games like Medal of Honor but still hate Quake and Unreal and all that crap is because of how much more immersive the MoH world is. For me, personally, the immersivness of a world is the number one factor that determines whether or not a game is good. MoH had it. It wasn't realistic damage, you could insta-heal, but I felt like I was running through a bombed out city, it felt like I was really running up the beach and dodging bullets left and right, barely escaping death. Sure, there was way too much cover and it was weighted so that you would survive the initial rush up the beach, but it felt like you were vulnerable. Quake and all that, it doesn't feel right. It feels like an arbitrary game world that doesn't have any of the same characteristics of the real world. They revel too much in the stereotypical vision of the future. That's not to say that a game set in the future can't succeed. Deus Ex is one of the most immersive games I've ever played, despite the fact that it was set in the future with all sorts of government conspiracies and aliens and out of control corporations around. But, if I killed a civilian reporter in a bar, I'd get yelled at by my boss. If I walked into the womens room and ran into a secretary, she'd hate me for the rest of the game. If I killed someone, people would remark about his absence. There's much more to games than just the reflex shooting.