Maybe this isn't what you're talking about, but Bungie's game Destiny is a pretty great example of medieval fantasy transposed several thousand years into the future.
there's a ton of great art happening in games these days. and a lot of it comes down to a few factors, there are some excellent concept art outsourcing houses (check out opusartz for one) the tools and artists trained in them are EXTREMELY capable in recreating whatever style, and the technology available for real time can basically do a fantastic job at baking down extremely high poly high res assets to whatever the final system requires.
this is not to diminish artists working today. (I'm one of them!)
Adrian Carmack though, comes from a whole other breed of creators who had to be both artistically brilliant as well as technically resourceful enough to create art within EXTREMELY tight constraints.
the menagerie for doom, which he is responsible for are still a masterwork in readability, efficiency of design, and communication of purpose in many ways (the textures in that game very easily still hold up today)
I work with a ton of amazingly talented artist, and still, it's rare that I see both artistic, illustrative, and technical talent all in one person. (helps that teams are enormous and so those skills can be spread amongst multiple people)
Is it? I only played Destiny 2 and from the parts I really got into (pre-expansions), I didn't get a very medieval fantasy vibe at any points. Most of the architecture was fairly modern or alien. Was nice though.
Anthem has some buildings that have an older feel out in the freeplay areas, but even that would be a stretch.
It's much more apparent in Destiny 1, with the Hive architecture, which is like something out of Mordor. And in the Forsaken expansion to Destiny 2, where The Dreaming City seems like a high-fantasy kingdom, but under attack by evil forces.
ah, nice. Can't remember if it was Hive or a different faction, but while playing the core game of D2, I thought it was nice because the environment you dealt with them reminded me a lot of Alien (without the xenomorph, obviously). I think that was one thing D2 did well: in the core game, there are multiple factions that are pretty distinct so it almost feels like different games at times.
