Upon its initial release Vampire – The Masquerade: Bloodlines was such a rushed mess that it put its developer, Troika, out of business. Let me give you a little example to illustrate my point: Its physics engine allowed you to pick up various objects and throw them around. Among these objects were bottles. The problem is, the bottles wouldn't break when they hit the ground.
According to ESRB, this game contains: Blood and Gore, Intense Violence, Sexual Themes, Strong Language
I don't think 3D RPG's work. The number-based systems of old pen & paper games have not transitioned well into the realm of three dimensions. Back in the days of 2D these number systems still made sense, but now they just get in the way.