almost all of medieval architecture is custom made for Nehrim
Custom made medieval architecture is still medieval architecture. The differences in architecture between the three realms of Nehrim were slight. I'm not suggesting anything like the extreme cartoonish architecture in Kingdoms of Amalur Reckoning, but there certainly was some diverse yet realistic architecture in games such as Gothic 3, Two Worlds 2, and Sacred 2. I enjoyed the creativity of the landscape and the quests in Nehrim, and certainly many of the dungeons were unique and interesting, but I didn't have many times when the landscape and the architecture gave me that WOW feeling. (Well, there was the Undead Duchess Bounty Quest, where I thought Wow, they must have had a couple kegs of skooma when they designed this!

)
The dungeons too were all quite unique
I've played through Nehrim 5 times, and I can assure you the dungeons are most certainly not "all quite unique." The lava cave format (such as the Dragon Cave) was used in at least 3 different dungeons. Another example is found in the "Sunken Site" near the monastery. Once you get past the submerged area, the next part is something of a cookie-cutter format which was used in several other dungeons. As for Ayleid type dungeons, there are dozens in Nehrim. Although the interiors may contain some original and interesting elements, few were so unusual that they would have seemed out of place in Oblivion.
But I have complete confidence that, whatever the developers of Enderal create, I will enjoy it immensely, even though there will be some elements that I would have preferred to be done differently. I'm sure it is already quite a challenge to reach compromises among the developers, let alone worrying about what the rest of us think (including the 99% that play the game but take no part in the forums, unless they are stuck on a quest).