Meth/Hvy Hitter - Stunlock tallboys/jumpyboys, get stumble on your shotty to deal with fatboys.
Batter/Lust/Spiky/Fears/Run/Helmet - Durability to fight hordes and mutations with team.
MedPro/EMT/Bandage - Remove trauma, heal completely anytime and get increased hp.
Brazen/Numb/Pain/Berserker - Solo hordes and mutations. Solo hags and breakers with stun grenades and a fireaxe.
Swap in for more damage or sustain,
Damage: Sunder, Hyper Focused
Sustain: Down in Front, Charitable Soul, Vanguard, Cold Brew, Smelling Salts.