I can't say for the newest tablets, but I have an older Intuos 4 running on a Mac Studio and the Ventura installer completely killed the legacy Wacom driver during the install.

Thankfully, I uninstalled and reinstalled and everything seems fine now.

I realize that these old drivers won't work forever and that it's kind of a miracle that they still work! I assume that the code is intel running in rosetta.

My Cintiq Pro 16 stopped working with 6.4.0 driver on Ventura (no pen/touch input). Wacom Center could detect the display, but it looks like the driver itself just crashes. Rebooting do fix it, but it hasn't been very stable. I haven't tried reinstalling the driver yet, but I would say avoid for now if Wacom driver is a requirement.