I've been playing on minimum graphics, and it looks much better than any previous Bethesda game. The performance isn't too great, and the TAA is a bit blurry, but it's tolerable.
I’ll need to double check if it looks like this outside of conversations, but I certainly feel like I’ve been playing a much better looking game than this.
Looks to me like this was cranked to low. About as honest as using a Mortal Kombat 1 screenshot from the Switch, but I guess it’s their fault for allowing people to lower their graphics like this.
The game is usually quite attractive, but skin in particular is pretty bad in a lot of lighting. Subsurface scattering would go a long way to making them not look like clay, but there are other methods to fix this as well.