head to head
Fallout: New Vegas asks more than Sanitarium, and the gap is execution.

Optimization · Pure Optimization
A faction-driven RPG-shooter where build and route planning shape every ending.

Optimization · Pure Optimization
A classic psychological adventure where an amnesiac navigates surreal delusions to recover his identity.
Fallout: New Vegas leans Optimization (Pure Optimization); Sanitarium leans Optimization (Pure Optimization).
Fallout: New Vegas leans clearly harder on execution.
Fallout: New Vegas
Shooter inputs with VATS assist
Sanitarium
Point-and-click navigation requires no dexterity
Fallout: New Vegas leans a little harder on reads, though the gap is small.
Fallout: New Vegas
Scripted factions and enemies
Sanitarium
No opponents; the delusions follow a fixed narrative
Same score on variance - which means the number cannot separate them. The difference is in what each one asks of you.
Fallout: New Vegas
Some loot and crit RNG
Sanitarium
Surreal puzzle logic is unknown until reasoned out
Fallout: New Vegas leans a little harder on optimization, though the gap is small.
Fallout: New Vegas
Faction routing, perks, builds heavily rewarded
Sanitarium
Every chapter is a deterministic puzzle to solve
A matching score does not mean a matching test. Two games can both sit at 10 on execution and demand completely different things of you - which is why the reasoning above matters more than the number beside it.