By combining analytical and numerical approaches, we theoretically investigate the effect of fabrication imperfections, e.g. roughness at metal interfaces, on nanometer metal-insulator-metal waveguides supporting slow gap-plasmon modes. Realistic devices with vapor deposition- and chemically-grown metal films are considered. We obtain quantitative predictions for the attenuations induced by absorption and by backscattering, and analytically derive how both attenuations scale with respect to the group velocity. Depending on the material parameters and fabrication quality, roughness-induced backscattering is find to be a significant additional source of attenuation for small group velocities, which is often neglected in the literature.