Getting back to a really old comment but just reading through this thread now - I had exactly the same thought. Choosing between the obvious options (like always having to pick swordfighting to succeed if that is your highest skill) can become quite limiting in terms of gameplay.
That’s why I’m implementing a system similar to the one you mentioned in my WIP Sins in Chrome. The player is able to choose a cybernetic body modification, and then further available choices or interactions are based only on the chosen augmentation.
Looking forward to see how this is received 