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The MEI LilyPond Engraving Refinement (MEILER) is a set of XSLT stylesheets to render MEI files with the help of the LilyPond Engine. This allows making heavy use of the layout attributes and parameters available in MEI.

Possible LilyPond output formats are PDF, PNG and SVG. It’s available on GitHub. You may have a look at some test files here and here, to get an impression of its capabilities. Also, there’s a poster available.