I haven’t played it, but there’s very little out there that will check all of those boxes. Never Knows Best did a great video on it. Lots of imitators have decided to hone in on a few of those aspects that make Bethesda games tick without spreading their focus like Bethesda games do, because one can easily argue that in a Bethesda game, no one part of the formula is every truly great on its own. That said, other than KCD2, which you’ve acknowledged as non-fantasy, there are two other options that I know of.

There’s Tainted Grail: The Fall of Avalon that came out last year. I haven’t gotten around to it yet, but I hear good things. Never Knows Best had his own issues with things that it did worse than Bethesda, but I think that was while the game was in early access or something. The other is called The Lantern of the Laughless Saint that I first heard about on the Computer RPG community here on Lemmy; it isn’t out yet, but has a release date listed as 2026, which might be early access for all I know. They put together a somewhat funny stereotypical TikTok trailer for the game where they’re really honing in on the systemic nature that people romanticize about Bethesda games, touting that you can use magic to make yourself jump so high that you won’t survive the fall.