Q# Visual Studio for Mac does not seem to work as vsix files are not supported
Followed instructions online, Q# VS extension download is only vsix -- apparently not supported by VS for Mac:
https://developercommunity.visualstudio.com/content/problem/67655/cant-install-vsix-to-vs-for-mac.html
This is not mentioned anywhere in your documentation.

1 comment
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We recommend using Quantum Development Kit together with Visual Studio Code to build and run Q# projects for macOS.
https://docs.microsoft.com/en-us/quantum/quantum-installconfig?view=qsharp-preview&tabs=tabid-vscode