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But if you're worried about it, I would avoid the following levels:
- Gomorrah Casino. Don't go into the yard or just kill all the Omertas when a quest sends you there. The Omerta questline kinda suck, so it's not a big loss.
- Silver Rush Casino. Don't ask the Garret brothers for work, skipping the comedic quest to recruit escorts.
- Casa Madrid Apartments in Westside. It's a brothel, just ignore the building.
- Old World Blues. Avoid this whole DLC, as it has a lot of sexual jokes. You won't miss much, really, as its main point is being "funny", not essential to the story/gameplay.
If you ignore those sections, the game is 99% clean.
Known assailants in this game are always of Very Evil Karma and every single character in this game can be permanently killed (with the exception of children and one specific plot character, Yes Man, who will move to a new body because he's the final hail-mary if you've killed every single plot character). So if you want to just off them, that's an option.
If the narrative makes you uncomfortable, avoid the following at Camp McCarran: Major Dhatri, Colonel Gorobets, honestly most of the First Recon (people in red hats, who will have names rather than "NCR Trooper").
Gomorrah in general (I mean... it's called Gomorrah) has some problems but as stated you can rush through the relevant quest with little interaction if you prefer to avoid any references to it. There are various sex workers hanging around and will have idle chatter if you stand nearby.
No one in the Legion is scantily clad, but their commentary is far more toxic, so again it depends on what you're uncomfortable with. You will be forced to enter a Legion encampment for plot reasons at least once but, again, you can kill your way through it if you want. It's mechanically very difficult, but it's totally possible with some preparation.
While some characters may flirt depending on your Charisma level or their personality, at no point are you forced into sexual interactions and in fact it can take some effort to initiate such an interaction. Prostitutes will take your money, sometimes have a one-line quip, and fade to black. I don't think there were even uncomfortable sfx but it's been a minute.
As stated, while a mature game with mature themes (including politics, drug abuse and alcoholism, genocide, etc...), it is not a sex simulator and what little interactable content of that nature exists in it is pretty much a matter of roleplay rather than moving the story along. You, as the player, have control over basically everything you do and how you interact with the characters and world around you.
While I haven't played FO3 myself, the understanding I have is that FO3 and FO4 are functionally FPS games in a Fallout-themed setting, with an emphasis on the action and linear story elements.
Fallout: New Vegas was made by the same people who made Fallout 1 and 2, Knights of the Old Republic 2, and Planescape: Torment. Common themes in those games that are also found in New Vegas is that choices make a difference, and many of these games contain multiple conversations with numerous options that operate as a sort of "boss fight" in their own right. New Vegas offers the experience of a shooter mechanically, but at its core is a role-playing game with a strong level of customization, where the choices you make matter, the character you build affects how you interact with the world, and the side you choose has an effect on all of your following interactions. The majority of quests have multiple solutions (the game was built on a rush and does show its age and roughness in some places, so not all quests do). You can play every faction and string them along for a time, you can kill your way across the wasteland, you can specialize in fixing problems or causing them.
FO3 is not a bad introduction to the game system afaik - mechanically they're built on the same base so in terms of gameplay it's pretty easy to move from one to the other, as intended by the New Vegas dev team - so the question here is what kind of experience you're going for, and what you're willing to potentially put up with to get it.
You might also consider looking into Let's Plays or see if a friend has played the game to get a better idea of what objectionable content may or may not be a problem.
I heard that you can only talk to the bad women, but is that the only extent?
Like you, I'm not interested in the sexual aspects of FNV, and so far, in avoiding Gomorrah, if you skip Old World Blues, or least, Dr Darla and the Biological Research Station, I've not had any undesirable content come up.
There are numerous cases of truly inhumane acts and surprisingly graphic descriptions of them. People are literally strapped with bombs on their necks and forced into slavery in Fallout 3. Sex is treated as a fairly mundane act, and none of it is done to show off how "edgy" the writers can be, especially in New Vegas.
Of the two, I would recommend New Vegas in terms of less egregious offenses, although the Legion is pretty screwed up and any of their questlines are the most extreme content the game has to offer. (Though Westside has its moments and there's some NCR topics that are pretty rough)
Fallout 3 might seem mundane compared to New Vegas, but that's just what's seen on the surface. The writers get really invested in making you feel like the most horrible person in history with basically no warning on numerous occasions, and the "evil" questlines get incredibly dark depending on your mileage. The aforementioned bomb collar slaves are on full display here with one character just blowing up one of the slaves just to show how "bad" they are. Cannibalism is also a key topic and is mentioned quite a bit with both the Supermutants and the wastelanders alike partaking in it. (There's literally a perk that lets your character become one, so there's that)
Drugs are a key part of both games with in-universe versions of every hardcore drug complete with some fairly accurate depictions of their side effects and users.
If your parents are cool with that kind of crap, then the sex stuff really isn't much to write home about. It's just kind of in the background showing you that adults do that sort of thing with only two or three explicit mentions of it. There are plenty of implications, but it's not a key feature nor is it discussed unless you really seek it out.
Fallout 4 was a sanitized and watered-down version of anything Fallout has ever been. The only reason it's even rated M is because of the graphic violence and language (Also maybe the drug use though it's not as explicit as previous games and it's treated as more of a bad thing rather than the more morally grey depictions in New Vegas and Fallout 3)
It's not even remotely an accurate portrayal of the content common to Fallout nor is it treated as maturely in the game.
Thats why you have different status based on how well liked you are by the various factions.
Like idolised for example
Fallout 3 was really boring and monotonous.