A friend of mine told me Bethesda Insider people (basically peons who work at Best Buy, Gamestop, Wal-Mart, etc.) are getting this and Skyrim for free on the PC version like we did with Brink. Suckers!
I just checked and they have the Xbox 360 downloadable version of Fallout: New Vegas up too. I already have it for PC but I might just go ahead and answer some quizzes/watch some vids to get that too.