Ghouls are too cute now, at least in Fallout 3 they were clearly disfigured (if unvaried and lacking expressiveness) I agree, we gotta lean into the horror of ghoulification. As of present the anti-ghoul sentiments seem really hard to hold up in setting. Like, we coulda had ghouls with half-attached ears, and cancerous growths on their necks, but now we just get kinda melty mannequins.