If you don’t do the CAM inside Rhino your main option is to export an STL and use a 3rd party tool such as MeshCAM, pyCAM, or Freemill (unless the latter works inside Rhino?).
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If you don’t do the CAM inside Rhino your main option is to export an STL and use a 3rd party tool such as MeshCAM, pyCAM, or Freemill (unless the latter works inside Rhino?).