Do you mean this app?
https://macrofactorapp.com/macrofactor/
I just installed it quickly to test it out:
Pixel 9 Pro | Build: 2025072800 | MacroFactor App version 5.2.3, installed via sandboxed Google PlayStore | Owner Profile
When I start the app, I get the following error message: "MacroFactor tried to perform DCL via memory" and the app crashes.
After allowing DCL via memory via App info> Dynamic code loading via memory the app starts without any errors.
During setup (after clicking on “Let's get started”), I get a notification "MacroFactor used the Play Integrity API".
Nevertheless I'm able to set up the app (Basics, Goal, Program) and get to “Choose a plan."
Since there is no free plan and I don't want to subscribe to a trial, I can't test any further.
But till that point, everything seems to be working fine.
Edit: biscuit_tosser_88 I just saw your post (page not updated). Unfortunately, I can't help you with that.
Maybe you'll find these links helpful:
https://discuss.grapheneos.org/d/19557-play-integrity-api
https://grapheneos.org/articles/attestation-compatibility-guide