all of my conversions are hand placed in KiCAD, and all traces are hand routed 
I unfortunately do not have a Mac, and am pretty dumb when it comes to virtual machines, that being said, I kinda want a Mac someday just to use Osmond lol.
I created a silkscreen and footprint library with all the ciat related stuff and create footprints for the weird shit
One cool feature in KiCAD - and this can be done with any circuit - but works especially well with paper circuits - you can export the Layers (Traces, Silk, Mask, etc) as SVG files and work with them in say, Inkscape -
This is how I pulled the traces and silkscreen from my 5-Star Brain PCB’s that I made last month -
