You can do MCU based PCB designs. It gets harder when it comes to the mentioned Cortex-A. It will be harder to sample, say, 40 pieces of them. You're very much supposed (and better off) to buy boards like OrangePi or similar.
ESP designs, especially ESP32, are somewhat in between. Started off as a little documented blackbox with a RTOS interface it is now a much better (but absolutely not on par with Cortex-M designs) documented platform. However, part of it is still a proprietary code blob. They are beefy beasts, however, and when you need just that - well, it's a no-brainer. I just wish they were documented like STM32s plus ARM manuals and had a little more toolchain support. The price tag keeps me from complaining any louder.
When you don't really have hard constraints and are fine with a 5 second bootup, chose whatever fits your bill. When exact timing is an issue (and you don't want to go bare metal on the Cortex-A), when fast bootup is an issue, well - better look at MCUs.