Just to add some more positive information, all working for me on a fresh VS install. No need for any tweaks or any config changes. 5mins test of running around in a new gen world had no issues.
2019 Macbook Pro, 16 inch, Intel, Ventura 13.5.2
Used the dotnet-sdk-7.0.401-osx-x64.pkg to install net7, and I also had previously brew installed Cairo 1.16.0_5
Thank you muchly for bringing this game Back to Mac.