So if you actually wanted to make and optimize one enough to be a "real" computer, you'd effectively end up with a conventional RISC architecture, where the only difference would be this weird way to encode instructions sprinkled on top of it.
Once you're there, it's just Turing machines all the way up: build a compiler, build an interpreter, run nodejs, whatever. Processors are so fast these days you could probably live with the inefficiency, assuming sufficiently smart compilers are available for the architecture.
It's just... not that different. Computers are weird like that.
SUBLEQ was designed to be a simple processor that could be implemented and programmed in a course. It was not designed to be practical or efficient, only demonstrative.
From a processor design prospective, the problem with SUBLEQ as an instruction set is that its instruction is both an arithmetic operation and a branch. And some things have to be implemented using self-modifying code. These are impediments to branch prediction, instruction pipelining and reordering, and speculation.
To make the fastest processor possible for SUBLEQ, one would have to basically have to recompile the code into a better instruction set. And that would be hard as it would require recovering the basic block structure which is hidden by the self-modifying code.
If you mean multi-core, I guess you could do memory-mapped registers to control additional cores from the first one? In its simplest form, you write an address (reset vector) into a predetermined memory location, and that core starts executing from that address. IIRC real multi-core CPUs work something like that.
If you mean multitasking on a single core, you should definitely be able to implement the cooperative kind. Preemptive multitasking requires timer interrupts.