I use "PDF Studio" (https://www.qoppa.com/pdfstudio/) and it's great, no problems at all.

Sadly I have to keep one Windows machine with Acrobat installed because the tax authorities here use hideous Cthulhu-like many-tentacled "Dynamic Forms" documents that automatically transform into XML (ugh) and only work in Adobe/Windows. But other than tax returns, I only use PDF Studio.