Fallout 76's VATS is pretty disappointing, here it is in action
Fallout 76 was never going to be able to support the VATS we know and love—you can't slow down time or pause for bloody cinematics in an online multiplayer game that takes place in real-time—but I was hoping for something better than what we saw in our hands-on session. As you can see in the video posted on PC Gamer, this is a heavily diluted and somewhat unintuitive version of VATS.
In its most basic incarnation, Fallout 76's VATS simply highlights enemies, displays your chances of a successful hit, and then determines a hit or miss depending on those odds. Perk cards you earn when you level up can give you the ability to cycle through body parts or weak areas and hit for more damage.