C macros and lisp macros (In particular, I'm thinking of hygienic macros à la Scheme) are two wildly different extremes. In between them lies a huge continuum of interesting things. There are Scala's macros. There are Haskell's language extensions. There are code generators like the ones used to implement much of gRPC, and there are compiler plugins like the ones used to implement aspect-oriented programming in C# and Java.
Most of them arguably qualify as being somewhere between an 80% solution and a 90% solution for the practical problems that lisp might solve with macros.
They're frequently not anywhere near as convenient to use or understand. But that's arguably a good thing in the long run, because it encourages communities to pool resources and work on a coordinated solution that can be shared by the community. My take on the curse of lisp, for what it's worth, is economies of scale. Lisp makes it too easy (and fun) to just keep your head down and work on your own thing, which hinders pooling of resources.
