Earlier quoted context omitted.
Looking over the library quickly, I really like it, that being said, Pillow is a much smaller and more self contained library than OpenCV, some projects try and avoid openCV if not necessary and this would extend to this project as well.
Thanks for the constructive comment! I'll try and see if it is at all possible to implement it in Pillow and maybe re-implement it in a major release, unless it is terribly convoluted.
In terms of convolution of implementing it, there may be a little more effort in terms of figuring some offsets (e.g., path widths may extend bounds), but it shouldn't be anything excessive I don't think.