Something the person whose Bethesda Forums post I just reposted stuck out. I believe this person when they say their team was very successful (by the measure of K/D/R) in the PVP mode. I believe this person was successful in PVP by how their mind works, and therefore the comment about drug drop ratio sticks out.
In Fallout, meds/stims have always been a huge part of the game. Mathematically unwinnable fights can become a breeze with a little Med-X for damage reduction, a bottle of Whiskey and Psychobuff for damage boost and strength boost, then a healthy supply of stimpacks.
So here's the thing, I barely use those items. I build tough versatile characters who don't need boosts all the time because they aren't glass cannons.
So the epiphany is I have been playing a survival game and hoarding resources while OP has been playing a game-game and crunching the numbers and including chems and such for maximum effect.
It occurs to me that those who play FO76 come from both FPS and MMO backgrounds. Those like me who are more skilled in realistic sandboxes can succeed in PVE just as well as those who come from purely stat based endeavors like WOW.
So the PVP is where those worlds collide. To put into context how I am more of a FPS person than a stat person even though I play Fallout - I don't use V.A.T.S and am still able to complete high difficulty settings.
Popping chems before and during a fight is like that Skyrim guy who is fighting a dragon and eats 2 dozen cheese wheels to stop the bleeding.