I think I shared this last time Sonic Pi got posted here, but Sonic Pi is also extremely flexible when you bus the MIDI output to other tools - Ableton, external synthesizers, etc. I posted a clip on IG a while back -

https://www.instagram.com/p/CKKvWP6h3xQ/

And I've also seen it play well with ORCA and other livecoding tools:

https://github.com/hundredrabbits/Orca