The graphics are better, the characters are better, and the missions are better.  While I still would like some of the micro-managing of gear and the ability to drive the Mako.... it is a great game.  Strongly recommend playing this game even if you don't like rpgs as it plays more like gears of war than it does fallout.
Shutter Island:  Decent
I bought the book on my way back from Vegas last weekend and read it on the plane/this weekend and it made we want to see the movie...so that's saying something right?