In your opinion, would you recommend them over regular tactile mechanical switches
Keyboard feel is subjective. If you like rubber domes, many say that Topre are the best-feeling rubber domes.
If by "regular tactile mechanical switch" you mean "brown" Cherry MX-type/like switches, then there are many other MX-type switches that are more tactile, and thus provide more feedback when you type. But those others are not as widely known outside enthusiast circles.
My own favourite is Cherry MX Clear, but that is very personal.
Others love the Holy Panda (and the Glorious and Feker Panda).
since I'm planning on building a board, how compatible are they with other mx style things, especially on the topic of pins on the bottom and things.
You can't put them into keyboards or PCBs made for Cherry MX. They are only available in keyboards made with them, which have PCBs with capacitive sensing.
The
Realforce RGB (discontinued?) and the
CoolerMaster Novatouch (long discontinued) did take the same keycaps as Cherry MX. There are also replacement sliders for Topre keyboards to make them take MX keycaps but I am not sure they will fit every key on every keyboard model with Topre switches.
By the way, there are also some keyboards with clones of Topre switches, that have with sliders that take MX keycaps:
Niz keyboards with "EC" switches, and a couple discontinued models from
Noppoo and
Royal Kludge (gotta love that name ...)
I have not tried any of those myself, so I don't know how they compare.