I know its mostly a joke, but at the same time its a joke deeply rooted in reality. I don't know if its a lack of proper tool things, but I was pretty disappointed at mod selection for skyrim when I looked a few months ago. I think Skyrim is a fun game, but severely held back by gameplay issues that mostly stem from the fact that the player can at anytime chuck 50 potions (or cheese wheels) and be back to full health. I think this is a fairly obvious problem, so I was hoping to find a mod that would remove this and rebalance the game around this, but I've found nothing to that effect. I did find thousands of mod that do largely insignificant graphic changes (why are there so many water mod? You barely interact with water?!), and millions of add boobs mod but barely any that affect gameplay, and even then most where just adding spells.
For contrast, I also play total war warhammer, my big complain in that game is that you can have unlimited amount of high tier unit in army, which makes all end game army samey since most race have one high tier units that make everything else irrelevant, but not only is there a mod to fix just that, that mod is also integrated in others mods that do massive gameplay changes and really help keep it fresh.