XS has a reputation of being ugly and cumbersome, but in my experience, it doesn't have to be. Let's take for example this snippet from my Thread::Csp::Promise class:

MODULE = Thread::Csp PACKAGE = Thread::Csp::Promise PREFIX = promise_

SV* promise_get(Promise* promise)

bool promise_is_finished(Promise* promise)

SV* promise_get_notifier(Promise* promise)