I feel like the main difference is that Elden Rings difficulty is innately linked to its game design. A similar game in a largely different genre is Underrail which is basically designed with CRPG fans who want to be kicked in the dick… repeatedly. Seriously Underrails combat is weirdly complex and frankly speaking even on easier difficulties is still a bitch.
I get that accessibility is a factor and all but theres only so much one can do thatll help without compromising the game design. I think the current situation is for the best, folks can mod the game to make it easier but there shouldnt be any official fuckery.
Also go play Underrail if you like Isometric CRPGs it hurts so good.
If not outside of America at least less common areas Chicago, Nasheville, Atlanta hell even rural regions like West Virginia. Hell if you are gonna do it in California or New York do it in less known areas, like Albany or San Bernardino yes I know Albany is the capital of New York but well New Yor, New york gets all the attention.