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Personally, I'd avoid mods that have "realistic damage" in description. Reason is, it makes builds like melee or unarmed useless because you'll be dead before you manage to get to enemies using ranged weapons.
Nevada can be configured to be roughly equivelent to JSawyer, but you may as well save yourself the time.
If you've played through the game plenty before, I'd recommend going into the geck and changing the fDiffMultHPByPCVH or fDiffMultHPByPCH settings to 1.0. (Make the edit directly in Jsawyer to save yourself a plugin)
This let's you play with the deadlier enemies of higher difficulties without the pointless Nerf to your own damage.