This game is awesome, no matter how you slice it. I am absolutely in love with it and cannot stop playing it. I just finished killing Sledge.
At first it was a bitch to get this game running nice and smooth, but I ended up downloading Evga's newest SLI drivers and now the game works like a charm. I have it running at 1440x900 at high everything but I didnt turn FSAA on at all, and it runs beautifully now. The game looks amazing, the art style is just so pleasing to the eyes.
And the guns, wowwee! I just got a revolver that has a 4x zoom scope that shoots shotgun type shots. And a little bit before th at I got a sub machine gun that fires so damn fast, and does so damn much damage its great.
The voice acting is quite good too, some of the things the bandits say get kind of repedative, but it sounds good so its not very bothersome ("You shoulda never come here! Im gonna make you pay!") So far the voice for Mordenkai (spelling?) is pretty great, it fits him perfectly. CL4P-TRP(clap trap) is hillarious, espically when he does his little techno "Oonts oonts oonts oonts" it cracks me up.
Vehicle control is terrible I will admit. Instead of using wasd controls, you use W and S to accellerate/decelerate respectively, but you cant use A and D to turn. Instead you turn with the mouse, and it feels awkward.
The menu system is kind of wonky as well, since its basicly a direct port (lying gearbox bastards! grr!). You have to use .ini tweaks to use the mouse wheel to scroll through menus and dialogs, and it has excessive use of the enter and escape buttons, but nothing to terrible and only takes a few minutes to get used to.
All in all, after you get done tweaking the ini files to your liking (changing keybinds, vsync, etc..) it plays very well and is quite fun. I havent tried out multiplayer yet, because Im waiting for a buddy of mine to get on irc so I can tell him to get it.
Its a pretty solid shooter and the rpg/LEWTZ aspect is great. As for it being repetitive, name me one game that isnt. Its a shooter, you shoot things, pretty much all you do. Just like every other shooter. It definately lives up to the hype in my opinion, and anyone that is looking forward to it, I whole heartedly recommend it to you. People that have no clue what it is, check it out still, you probably will dig it.
Completely arbitrary rating: 32459823470592348573/10
Ps. I FUCKING HATE SKAGS! That is all.
Edit: Dekafu, you can force AA in the .ini files or force it via your control panel/nHancer. And yes, you can turn aim assist OFF. Its in game options in the options menu.