Greg & I both happen to use the same sound card/ interface... the Focusrite Saffire.
It has 2 inputs which is the limit for the MC series DAWs, and it happens to have 8 outputs. All outputs are assignable. As it turns out, I am actually using all 8 outputs in the Saffire. I have them set up as 4 stereo pairs. Through the years I have used them for various purposes. I'd have to look back there to check and trace the wires to see what my current config is..... but I think
Pair 1 (1&2) to the studio monitors
Pair 2 (3&4) to my headphone amp
Pair 3 (5&6) to the stereo system
Pair 4 (7&8) using just one to send signal to the sub.
So essentially, if you have the outputs, you can use them all. I believe the Saffire was designed to do 7+1 surround for movies and games and such things. Most users probably do 2_1 as I do.....simple stereo.
I don't know, because I have never experimented with this, so I'm not sure if Music Creator 4,5 or 6 can do the routing for quad or higher. But, in a live band situation, my guess is that generally speaking, you should almost always be using MONO anyway from your speaker system.
Venue's with challenging acoustics..... which one isn't? Yeah I know some are really sweet but in my experience, concrete walls and floors tend to abound. In cases like that, turn down. Low volume is your friend.
But yes, you should be able to use MC with an interface that gives you multiple outputs without issues.
If you want to get fancy, you can have MC5 send the midi data out to external sound modules and let them play into the PA or a stage amp. I saw a band that was using early DOS Cakewalk to sequence a number of modules in that very manner. Each module had a channel and they all outputted to stage amps or into the mixing console.
Such a rig is a disaster waiting to happen. I believe in going the most fool proof way when I need to play out somewhere. In my case, that is a CD or a wave file played on a laptop into the PA as opposed to a complicated rig running a live version of cake with the imbedded VST softsynths and other things..... I call that "tempting the fates"..... but if it works for you and you're having fun with it.... by all means... don't let me dissuade you.
that's my 2 cents.