I recommend using Another Green Mod ( ), Darker Nights ( ) and Vivid Weathers ( ) as well. You seem to level slower as well, but that could just be because I'm running low INT (you only get 9 stat points to assign when starting). The perks are nerfed, maybe a bit too much IMO (you get 5% extra damage for a rank of a gun perk instead of the base game's 20%) and the mod author added some old memes into the skill descriptions which is lame (lone wanderer becomes chad wanderer etc) but otherwise the changes to the perks are excellent. Like it actually makes sense to drop an armor piece that is too heavy even if it has better AR than what you have. You're a lot more limited on weight with this mod than normal survival mode so it makes armor and weapon choices more tactical. Basically it makes the game a whole lot harder and also a more varied, enjoyable experience. It's a semi TC designed to be used with survival mode and turns off level scaling for enemies, changes perks and loot lists, rebalances weapons and a whole bunch of other things.
With the mods I'm using it's actually been really enjoyable. I want to try Frost so I thought I'd have another go at the base game for a bit to get used to it before tackling Frost.