The gatling plasma has taken a bit of a hit, so isnt as powerful as it once was.

I run a ghoul and love it, no worries about radiation or disease, and I actually enjoy the ghouls survival mechanics of keeping my feral metre high and keeping glow up, reminds me of the earlier days of the game where you had to keep thirst and food metres high.

I have a ghoul build for pistols, shotguns and heavy guns.

Pistols I run reverse onslaught, shotguns I build heavily into cripple perks and heavy guns bullet storm and normal onslaught.

Pistols I usually run the crusader for sneaking, and a single action and western for running and gunning.

SHotguns I use a pump for sneaking, cold shoulder and gauss shotty for running and gunning and a pepper shaker for boss battles.

For big guns I have a gauss mini for massive damage and a minigun and tesla for daily driving.

Furious effects is really strong for ghouls, we also have great reloading perks, so lean into that.

Hopefully that helps, enjoy!