Install version version 0.6.5 or later.
Before version 0.6.5 - OTD does not support pressure and tilt on MacOS
Version 0.6.5 or greater - OTD supports pressure and tilt on MacOS
OTD runs on both Intel x86 and Apple silicon macs.
NOTE: I will create detailed instructions later, but for now I will leave a summary here
First make sure your tablet is supported. Check if it is on this list: https://opentabletdriver.net/Tablets
Uninstall all tablet drivers on your MacOS device.
Follow the installation guide here: https://opentabletdriver.net/Wiki/Install/MacOS