I've killed one bull elk with my 6.5-06 AI at 200 yds. I was shooting 140 Berger Hunting VLD's at 3220 fps. The bullet performed well as it went through both front shoulders and the bull dropped in his tracks. There was more tissue damage than I like typically but he was dead so.....

With that said I wouldn't recommend a 6.5 as an elk rifle even though it obviously can work.