I’m getting in beyond my depth here but there may be various ways.
Simply draw a design (Concept) and ask to have a reamer made by the people who make them. Manson is a name that’s comes to mind.
Perhaps in some cases you could select a barrel with a given bore and use a reamer of a parent case so as you are starting with a case that’s is available and has potential to create your new design.
Like my example above a gun nut who had access to a small CBC lathe and someone to demonstrate he made a bush to shorten the chamber of a .270winchester chambered barrel and fireformed .243 loads in it. You would need to know your powders and do your homework.
With my limited knowledge I would not attempt that. I would not even suggest someone tries it. Bushing the chamber is not a practice anyone would advocate.
But with that example I think maybe you could get a .270 bore barrel blank and use a reamer with a smaller neck dia perhaps? Providing that you could keep it centred. So like a .243, 6.5 cm or .260 Rem reamer into the .270 bore barrel may make that wildcat.
Forget it buy a 7mm-08 that’s what I did.
There was an article in sporting shooter of an Aussie who made a .358 on a short action. Alan Swan done the work. He ordered a reamer to his design, asked Bertram cases to custom make brass with his designated chambering be it a .358 with his last name as the designation and head stamp.
The cases were a standard head size of formed from a generic blank case they make something else of.
I believe readers are ground and need to be sharp, also these can be resharpened . I guess in the hands of a smart machinist they can be ground to change the shoulder angle.
Nathan Foster runs the terminal ballistics research website. Look up his 7mm practical page
https://www.ballisticstudies.com/Knowledgebase/7mm+Practical.html
https://www.ballisticstudies.com/Blog/x_post/the-third-7mm-practical.html
I haven’t read this in a while but I think it talks about the process.
Another note a gunsmith in my home town when I was a kid was Arthur Langford of Broken Hill he owned Myra’s sports store.
http://shootingwithhobie.blogspot.com/2011/01/squeeze-bore.html
Google some references
I know he designed a .17mini mite and a Tini mite by downsizing the necks of .22rf and .22mag. Making his own dies etc. they were the fasted rimfires recorded at the time and a pre cursor to the .17Mach1 and .17HMR
He also done some centrefire wildcats. All this before the internet and these modern wildcats . Evidently There was a .300 Myra using a .222 case. Sound familiar?
He had a nice ammunition factory and a small outlet that he sold in the early 90s