To me at least, this is one of the best examples of how they fucked up by going RT. They desperately wanted to keep something that would slightly remind FO enthusiasts of TB combat, yet they obviously didn't think it through from the start. Of course V.A.T.S. would at some point unbalance the combat. But instead of getting rid of that contraption completely, they "solve" it by doing this? It's laughable. It's a halfbaked solution. If this is mentioned in the manual (that V.A.T.S. is extremely limited for melee/HtH), no one is going to go melee/HtH on their first run-through because they might miss out on the called shots.We tried many ways of doing melee with VATS, and having messed a lot with "missing" in melee, it just felt really bad. So once we changed VATS melee to "always hit", assuming you are in range, the body part selection became a bit unbalancing, so now it's a "whole body attack", but you still do end up hitting a specific body part when you swing, but it's based on what you actually contact with, as opposed to what you aim at. This avoids the "always punch in the head" problem, whereas with guns, we can balance out certain body parts with hit percentages, like the head.
Tactics/Arcanum fucked up combat as well by trying to bring both RT and TB to the player. You'd expect people to learn from other people's mistakes, no? The saddest part is that V.A.T.S. isn't even TB. Amateurs.