Disappointing is the best I can say about this patch.
I'm not seeing any improvements in performance (I play on a higher end PC), am getting bugs that I did not incur previously, and have noted zero changes to address game play issues associated with broken perks, gear, and such, nor anything to address the abysmal balance of such systems.
I'm also not seeing any fixes or improvements to the terrible AI, terrible driving controls (worst driving I've ever played on M+KB in years), distance graphics issues (for example in badlands there are very noticible lines of heavy traffic in distance, though once you get close there are few if any vehicles and half aren't even moving or have lights on at night), and random loot (specifically the absurdity of random slots / stats on fixed / one time items).
I mean I wasn't expecting an overhaul of systems that have issues like police, nor major changes to how the various character power systems work, nor a bunch of new content, but I was expecting better performance, less bugs, and some progress in fixing things with current system that have been broken since launch.
Instead I have the same performance, more bugs, and no progress in fixing existing systems - definitely going in the wrong direction.