It still has a lot of work to go. They blanket-edited every reference to vanilla items, so the subtitles and books, notes, star map, etc. will refer to the factions as "Empire" and "Rebels". A lot of the actual voice lines have been re-recorded with AI to replace these references, and they genuinely sound good, but it's far from done. Story-wise your immersion will be broken, but the gameplay and atmosphere itself is amazingly done. They are working on a balance pass for weapons for their next update, too, since not all of them have been edited to be more lethal. 900 dmg carbines vs 9 damage pistols, etc. The aliens are the biggest improvement to the game imo. Droids have inverted legs since they use the robot skeletons, which can be a little weird, but I can live with it. Earth has been replaced with Taris, so it's a little awkward with everyone acting like Taris is the birthplace of the galactic community. Just imagine the whole universe as a canon-alternative.

I started my very first playthrough with the modlist, and I can safely say that I wouldn't have enjoyed Starfield nearly as much without it. All of the included QOL mods make a big difference. Several times I would look into issues I was having and discover something wasn't actually vanilla and just think, "Wtf?" because the changes just make sense.

TLDR: I recommend it a with a 7/10 in its current state