There is still no good library which takes in a MVT tile and spits out the appropriate PNG or JPEG for rendering in via a tile base mapping engine. There is still no good cross platform mapping engine that can render vector tiles in a way that is easy to consume. There are certainly engines on specific platforms, but unless we use something like Leaflet or OpenLayers it is hard to make it work with native APIs on, say Windows, MacOs, Linux, iOS or Android without needing to adding a whole browser engine on top of your app.
Maplibre Native even seems to have a headless "render to PNG" backend: https://github.com/maplibre/maplibre-native/tree/main/platfo...
I havent yet come across any renderer that would do this even partially, even before opening the whole can of worms that is text rendering.
Closest thing I'm aware of might be ArcGIS Maps for Adobe Creative Cloud but would need something that's more like a library and preferably FOSS.
Assuming you meet the relevant attribution/license requirements for the various bits you choose of course. I don't think any usage policy has been published for these tiles yet.
Unfortunately there are some translation issues with styles for MVT sources so you might need to do a bit of fixing if you don't want to go the route of a paid plan with MapTiler (third party provider) who have a plugin.
There's also a list of "print map" generators of varying types here: https://wiki.openstreetmap.org/wiki/OSM_on_Paper
This link is shrinking though! There's slowly growing support. Leaflet and OpenLayers are fundamentally limited by being canvas-based, so there's only so much they can do.
QGIS has one of the fastest, cleanest MVT renderers I've seen, but I don't know how easy that would be to extract out.
PostGIS is the best platform for generating vector tiles, but it's extremely clunky. On the projects I'm working on (eg https://vectorcharts.com/) I do extensive processing in PostGIS, but then encode to vector tiles in bespoke C++ code.