You will find pretty much a love'em or hate'em school of thought when it comes to ballistic tip bullets.I personally do not like them because despite being generally very accurate bullets I find that they fragment too easily and over expand which causes excessive meat damage and hurts their ability to pentrate deeply. As others have said this is even more of a problem with close range high velocity impacts. I am also particularly leery of them in light weight versions like those you would be using in a 243. Common sense tells you that if these things fragment and shed weight rapidly then it would be better if the bullet started out heavier rather than light.

However if you always wait for a perfect broadside shot and then place your bullet behind the shoulder in the front half of the ribcage you will probably be okay. The problem is that this isn't always the shot youwill bepresented with and shot placement isn't always perfect either. I like a bullet that I feel confident will drive through a shoulder on a quatering to me shot if a mature monster steps into view. Of all the wounded and lost deer that I have heard of; had first had knowledgeof; or been directlyinvolved within the last 5 years I bet ballistic tips have been involved in 75 percent of the cases.