Not me. Shouts have with the exception of sneak attacks, and there an exception for Throw Voice, become a part of my combat style to the point I keep tapping Z while playing New Vegas.

And my favorite racial still has to be the Orc berserk. When it just needs to die. NOW. Though against that Death Lord, combining block, armor and Berserk means it does perhaps four or five damage, and then you can kill it with a single shot.