I used sneaking then hitting them with the mezzmatron to get some of the harder targets for Strictly Business. Or ones I did not want to have to do as much fighitng my way out of.
I sometimes use sneaking when capturing slaves. The critical hit means their head has less chance of exploding or they run away.
I used sneak for the Wasteland Survivval Guide for the optional part of the mirelurk quest.
When it comes to fights I would rather run right at them with my large gun and turn them into a bloody mess, lol.
I never use sneak in fights.