The mod doesn't work well with any type of nests expansion (even in Vanilla, but to a lesser extent) because the decoratives are not attached to a specific spawner but rather its position on the map.
This mean that when you kill a nest, the mod mark an area at its position to be cleaned, and if by the time the area is cleaned an other nest spawns, the decoratives of the new nest will also be cleaned.
This may lead to nests (mostly around player structures with Rampant as you described it) to not have decoratives under them which may look weird, but it is not the most problematic issue there.
Like you guessed, performance will be a more problematic issue here. Because even if there isn't anything to clean under theses new nests, the mod will still mark the area to clean, piling tasks over tasks since you're more likely to clear the area around your base frequently. And as your base extend, the killing zone expand. As well as the area to clean.
Plus, because as if this wasn't enough, I'll just let you judge by yourself:
- Let's assume we're still early game, but mid early game.
- Now, let's take as example a "modest" enemy base, composed of 20 "spawners" (biter spawners, spitter spawners, worms).
- Let's assume each of them in average spawn 6 different decoratives types.
The mod already have to search and clean decoratives in 20 x 6 = 120 areas because each decoratives can spawn at different distances for each "spawner".
This is a lot. 10 bases like that, and you're already at 1200 areas to search through and clean.
And I'm just talking early game...
So, with a mod like Rampant (I may take a look at it anyway, but it is not a priority) you're just going to pile up tasks over and over that will most likely never going to be cleaned up because of your kill rate, inflating your save file (you have to keep track of theses killed nests right) and eating up UPS I'm pretty sure you would better like to spend on Rampant AI or your factory for example.
I hope you have a better understanding of how the mod works, and what you're asking now. ;)
(But don't hesitate to correct me if I got something wrong with Rampant).