I will certainly give you "very rarely", but you can also make photopolymer plates of a digital file, and then print it using letterpress printing. That's how I did my wedding invitations. Unfortunately, the font I used didn't have ink traps.
Thanks guys. Let me try again. I don't care about printing, as there are clearly others worrying about that. How does it look on my ~2K screen, since I don't have the cash required for the ever emergent 4K coding revolution? Any help? None? Okay. Cool. At least I learned something, even if about printing. :-)