To be honest hardcore mode isn't anything special. I'm breezing through it atm without any preorder bonuses, and i only get a minor sickness if i REALLY want to.
It's nice that i have to manage bullet weight though, which was the reason i opted for it.
I am betting Obsidian wanted to make Hardcore Mode the normal mode but had some sort of backlash from testers or Bethesda and just made it a toggled optional mode
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