I’ve been using Typst, a Rust library for generating PDFs from markdown. Typst is also a pure functional language such that you can put display logic into functions in a template to keep such logic out of Elixir.
To use the latest version, 0.12, you’ll want to use it on the command line from Elixir. There is an Elixir library that packages the Rust for version 0.3 called ExTypst and a fork that updates it to version 0.9.
