I agree. It's a similar problem to the problem of programming, though maybe not as bad.
I would love to see a probabilistic rendering system based on something other than triangles, that produces something like this:
It's something I've been thinking about in the back of my mind for a long time, but no grand insights (or experiments) yet. Still, it is a dream of mine.

The closest thing I've seen is maybe the game
Love, by Eskil Steenberg.
A possible solution, or at least a way to work towards more satisfying results, for us has been to reduce the importance of concept art in favor of working in the game engine as much and as quickly as possible. Imagination is your worst enemy sometimes. It's better to start dealing with how you work will be presented as early as possible. And then you work with everything that's at your disposal.
I think this is a great partial solution, in the meantime. Kind of like rapid prototyping with game programming instead of just imagining grand design visions in your head.