In Fallout 4 I only used VATS when I needed time to assess threats.
Especially on the rare times, they had a team of gunners with 3 assault rifles, grenades, and a missile launcher.
But it's so rare, it might as well not happen. Besides, that's what hotkeyed Jet is for. Slow time for 10 sec. With perks, you can make it go as high as 33 seconds.
There's also the rare occasional 'fuck you I have a Fatman' NPC in some places that instantly kill you on Survival.
Always saved the VATS crit in Fallout 4 for that. But you either put points in luck perks or VATS is just a sub-optimal gimmick.
Personally, it's not needed if you play with mouse & a keyboard.
But some people like to play VATS build. It's really janky and cheap way to ID threats that are faraway/hiding behind cover. But at the late game, I installed a targeting computer on my Power Armor helmet and that problem went away completely.
The only part I'm puzzled with is having a Jetpack Power Armor that uses AP to propel you upwards.
What the hell? This thing is powered by fusion cores, so why not just drain fusion cores instead?