Preface; Yes, this idea is ridiculous and will never be done. It’s just a description of an ideal system I’d like to see in some game, some day.
Additional disclaimer: Yes, this would require a re-write of many other systems including combat and inventory.
However hard it would be to implement this idea is easy to describe; Use the vehicle system to construct power armor and character anatomy including CBMs and mutations.
How it would look:
When player examines his anatomy a UI similar to vehicle-making appears. There the player sees a couple of tiles in a shape of a human. When selecting the head tile the player sees a list of organs present on that tile: Skull, brain, eyes, ears, nose, lips, teeth, tongue, jaw. Just like a list of vehicle parts on a vehicle tile.
Through that list the player can:
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See the status of his organs. Maybe his eyes are shredded. Maybe his nose is bleeding. Maybe his heart is missing after a Hulk punched his chest.
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See the mutations of his organs and body parts. Maybe that human shape isn’t very human anymore. Maybe his head has a dozen eyes instead of two. Maybe his [nose] turned into a [snout]. Maybe his skin got an extension of [scales].
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See and manage his CBMs, which act just like organs and may require organs to be amputated before/during installation. Tho I must add I don’t get this… Why use CBMs to replace organs specifically if they can be additions instead? Why such limitation that cyborgs have to look human on the surface?
Upon examining a power armor the player likewise sees a humanoid shape made up of tiles in the same UI similar to vehicle construction and there the player also sees all the currently attached parts of that power armor in much the same manner. This would obviously require inclusion of joints or attachment points to determine where new limbs can be added both for power armor and anatomy UI.
For that I’ll add another disclaimer because while researching pre-existence of similar threads I’ve come across a comment by Kevingrenade where he expressed that Fallout 4 went too far in regards to what the player could possibly construct… To which I say that I don’t understand what’s so hard in bolting in prefabricated parts specifically designed for a modular system by engineers for ease of repairs in the field for military operations. Or you know… self-surgery. Sorry if I misunderstood that comment.