I installed this and tried the beta. Never played UO before.
Seems like there is quite a bit of learning curve (as you would expect for older games).
Even basics like attacking monsters aren't that straightforward. I took some time to figure out that you have to go in war -mode to be able to target enemies. The confusing part was that, at first, my guy counterattacked monsters in even peace -mode but at some point not anymore. Lesson learned: read some beginner guide first.
Also everything is so tiny on modern high resolution screens. For example small gold piles and daggers in inventory are like 2x1 mm in size. So you have to be very accurate with your mouse

Simply double-clicking to loot gold piles doesn't seem to work. You gotta first drag the pile, then click ok to take all X pieces and then you can put it to your backpack. Pretty bothersome.
@Savagebeard, you got any recommendations for how to setup the game nicely? Which launcher/assistant, Steam or Razer is better?
I saw screenshot of Enhanced Client with much clearer UI. Can it be be used with Outlands?
Awesome, I can only say congratulations for downloading it and never tried it before, because you are in for the best game experience in your life.
Definately a learning curve, but it is 100% worth it, it's such a great and in depth game. If you are picking up stacks you can use shift-click to pull the entire stack at the same time (I think it's shift at least).
Unfortunately there's no real way to increase the size of the pixels, you can mess with scaling and so on in Windows but it doesn't turn out very well. You can also change screen resolution in general, which will obviously make pixels larger. The 1x1 pixel gold coins is generally something you find early game fighting newbie mobs, later on they all drop >6 gold which will form a larger pile. Diamonds and gems are still annoying though since they are so small to loot (but valuable!)
For the setup I can recommend what I personally use. I use Razor and play at about 1280x1030 resolution. Some people say Steam is better, but I didnt use it personally. Steam has stuff like grid-loot though, which can make looting a bit easier.
The enhanced client that you saw isn't possible for Outlands, because some restrictions have to be made since there are some "cheaty" functions in certain assistants, such as auto-target or auto-loot. Such things need to be limited for balance in PvP for example, to make it more skilled.
There is an additional client in Outlands, and that's a combination of Orion+Razor (custom developed), which brings a lot of new stuff. It's not 100% bug free, but it's worth a try if you are interested (find it here:
https://github.com/jaedan/OrionUO/releases)