I've had a lot of success using chordal graph allocators. They provide plenty of extra dimensions of 'relaxation' to tune them, they're incremental (so they allow pinning), and they decay nicely when their constraints are violated. Because of their incremental nature & "niceness" of decay, they can be forced into a nice hierarchical form ("middle out" on the loops). The main driving algorithm (maximum cardinality search) is a little harebrained; but, if you just relax and write up the code, you'll find it is surprisingly short & robust, and highly amenable to unit testing.

Spilling/filling is a bit exciting, since chordal coloring doesn't provide a lot of direction, but I've found that pressure heuristics fill in the gap nicely. The whole thing relies on having a robust interference graph — which more than kind of sucks — but, we don't get into compilers unless we've weaponized our bit-set data-structures in the first place.