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It can't roll with rampage, so multikillclip is basically the best damage perk on it. Alternatives would be one for all (easier proc, but weaker), adrenaline junkie (when using a grenade build) or frienzy (even easier proc and even weaker). So yeah, if you can kill 3 adds and reload in 5 seconds you basically have 100% uptime.
Outlaw helps with it massively. It could roll with Feeding Frienzy, but outlaw is good enough imo because you'd go for headshots anyway with a handcannon. It could also roll with rapid hit, increasing your stability at the cost of a bit of reload speed.
Perfect would be Feeding Frienzy/Multikill Clip. But it would be only a tiny bit better.