Yes the output of patterns isn’t simple, and we need more fine grained options to meet professional requirements.Most of these options have been submitted as issues already, except for the current discussion.
The actual solution to @caychochang’s issue is a nested-pattern output based on the currently open multisize table. Not sure if a nested-pattern feature has been added to the current issues list in vpo2.
Honestly, given the limited number of pieces in a typical garment, I’m sure that, like me, most users would be more than happy to place the pieces themselves, as long as they can hold <SHIFT> while rotating a piece to lock it to 15-degree increments, based on the grainline if there is one, and the orientation of the workpiece if there isn’t.
If you’re placing the pieces yourself, then you’re basically making a marker.
You say that like it’s a bad thing. 
No… that’s a good thing. While I’ve never had the need to use a cutting marker in the usual manner - that is to print out the marker and lay in on top of multi layer spread instead of drawing out the pieces with chalk, I do draw out a scale marker for each pattern we have and keep a binder of them so I can easily reference the layout of pattern pieces. It would be nice to create a marker - either by hand or automagically - and then be able to make a scale printout.