It's definitely not winning any rewards for graphics. Not sure where all the power it uses goes honestly. Though they hold back on things like textures(vram usage), probably waiting for someone to mod it for free. Don't take me wrong, it can look gorgeous in some shots then just normal in others.
Imo turn a lot off. Especially that grain filter. For me it added nasty fuzziness to everything.
Also there is a mod that removes all the extra color filters that for some make the game look a lot crisper.
There is plenty of videos out there going over settings/benchmarks, and what is worth what.
Don't look at NPC eyes or mouth, especially the latter, the black teeth/mouth cavern is creepy. Because for some reason their engine cannot produce lighting inside the mouth.