I'm mainly speaking from my hot foiling experience, and some of the jobs I did.
The blocks/plates I used were magnesium, and used some kind of photo etching process to create them.
I've no doubt, CNC would be good for some jobs in hot foiling, but a lot of the stuff I did, I don't think so.
I have attached a scrap card, showing a broom head. I don't any other examples at hand.

As for experience, I was a CNC programmer/operater in the mid eighties, and after that, I worked for a CAD/CAM software house in tech support for 7 years. We had 2D and 3D products and an NC product, as well as surface modelling and FE products(I'm definitely no FE expert). While not recent experience, my son works in precision engineering and I have seen some of the stuff that can be produced. A model of the Jules Rime(world cup, not sure how you spell that lol) was very impressive.
Click image for larger version. 

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