Dual wield specifically with a pistol/one handed weapon like the powerfist.

[firsttodie]

If this is within the realm of possibility then it should be pursued as it would make the game even more awesome.

[GSmog]

im fairly sure its possible since we can duel wield in skyrim. Granted this isnt skyrim but I remember seeing something about duel wielding pistols in New Vegas. You would just need someone that can do animations~