I can understand why fantasy settings are pretty stale, not just in games but in a variety of other media as well. Fantasy can be complex, and using old, familiar tropes (elves are haughty and love nature, dwarves are stubborn and love gold, humans are the world's jack-of-all-trades) lowers the barrier to entry, which is really important when you want something to be easily marketable to as large an audience as possible. People know what to expect from familiar fantasy tropes, which means they can focus on plot and gameplay rather than going "so what's that character supposed to be?"
But it's boring. I love it when a fantasy setting isn't afraid to trust the intelligence and curiosity of its audience and do something weird.