>>725350697
Some of them are more pickable yes. Others are there just to grief, just so you are forced to pick them when you get the "Flawed" flaw.
for example, "Lie options have no speech requirement but you can only pick between Lie or Leave Conversation options every time". Or Kleptomania, you get 100% vendor price on stolen goods but automatically steal stuff sometimes.
But then you also get some like "+50% crounching speed but everytime you crouch your knees crack and it alerts guards nearby", or "+50% mag size but if you reload when the mag is empty you get a debuff."
Some of them alter your playstyle, others completely alter your playthrough