Do you use fatmans and incinerators (silly ridiculous weapons), or realistic weapons?
By your qualification, I use 'realistic' weapons. I don't use Energy Weapons and I don't use anything that might have, in Fallout 3, been considered a Big Gun.
Without any mods dropped on the game, I prefer to use a .45 Auto. With mods, I prefer a .45-70 LeMat revolver.