In your gameplay settings change the "Kill Cam" mode to player view and go sniping. When it kicks in you have Bullet Time allowing for multiple kills before the effect finishes. Still have the sight picture, your controls still function and precise aiming is very easy. With a scoped weapon with a high ROF weapon like the All-American scoring 3-4 kills at range quickly is fairly easy. The .308 sniper rifle it's more like two quick kills. Also, downright epic at shorter ranges with "This Machine" as you can empty a large chunk of it's clip during the time it's active.
Who needs VATS with this around?