It is a very good rifle and has an amazingly powerful critical hit, it has an incredibly low spread and is also very durable. The one problem it has is its sight. The iron sights of the Paciencia are the same as the regular Hunting Rifles and they both have a flaw. Its sight is slightly misaligned which makes long range shots a bit of a gamble, but this can be fixed by either turning off True Iron Sights in Settings or, if you're on PC, getting a mod that allows you to add modifications(like the Hunting Rifles Scope) to unique weapons.
Sweet, thanks for the responses, Lobotomite. I'll do some practice with non armor piercing rounds, to figure out the iron sight. I'll see what its like without the iron sights as well. I really need to get a new pc so I can play these fallout games on there, and tweak them a bit.