IDK about "tier 1" but I'll note I've used VS for debugging and profiling Rust binaries. I even wrote a tool to auto-generate a wrapper .sln so I can easily launch from VS: https://github.com/MaulingMonkey/cargo-vs

The main pain point IME was poor debugger visualizers for standard containers and enums. I fixed some of that for the standard containers by writing some natvis files for std: https://github.com/rust-lang/rust/issues?q=state%3Aclosed%20... . Admittedly, they broke a few times. They also weren't automatically included in the pdbs, so I wrote a crate for that: https://github.com/MaulingMonkey/natvis-pdbs . And then someone crated and stabilized #[debugger_visualizer] for rust itself, which can do the same job: https://doc.rust-lang.org/reference/attributes/debugger.html .

(...I should check on enum visualization, but I suspect it's still poor.)