reaver894: Fallout 3 managed it
No, it really didn't. I liked Fallout 3 but I'll be the first to admit that the entire main storyline is a lot of nonsense, especially the ending. Just looking at the ending for a moment, you could have one radiation-immune follower and one follower who's HEALED by radiation, and both of them will refuse to go push a button for you. Why do they do this? Because it's "your" destiny, or some foolishness. Apparently they don't really like you much after all, and care nothing for the welfare of the Capital Wasteland either, since they could easily prevent your death and ensure clean water for everyone with three seconds' worth of easy safe work.
Sure, they released a DLC later that made you only comatose rather than dead, but it didn't address the your-followers-hate-you-and-want-you-and-everyone-else-to-suffer issue.