Since the last update:
The course of the main quest has been decided (could possibly change, but that's doubtful now), and the first 1/4 or so of it is in-game and playable.
The Red Sands Tribe camp is under construction.
Blue River Settlement apartments are under construction.
Salvation Hospital lighting totally redone
More dialogue, especially generic responses and location/class-based responses
Red Sands Tribe faction (initation quest in progress)
Changes to the house quest, it's now the main quest trigger and you don't get a choice to get the key or not.
Various ammo types added (full list on site item list)
Started locking up buildings and adding keys
Item list posted (still a work in progress, but for the most part synced with what's ingame)
Quest list posted (just titles right now, walkthroughs and journal info are going to be posted)
4 new screens (posted on ModDB as well)