New develoment studio Warhorse, based in the Czech Republic, is out to change that. Staffed by former members of Bohemia Interactive and 2K Czech (formerly Illusion Softworks), Warhorse is creating a historically-accurate RPG set in the Holy Roman Empire in 1403 AD, during the 'dying days of the middle ages'. The game will focus on character development, a wide range of combat techniques informed by the real warfare of the time (from field battles to stealth to sieges, either fighting on foot or horseback) and will feature an open world narrative. Basically, think Skyrim but set in Europe with less dragons and magic.
It's an interesting approach to take but the pedigree is impressive. Some of the developers worked on the ARMA series and the original Mafia. Kingdom Come: Deliverance will be released on PC, PS4 and X-Box One in 2015. Many screenshots can be seen here.