To use visual scripting with Spine animations, you can utilize the Spine runtimes that support visual scripting, such as spine-unity or spine-ue. These runtimes allow you to animate Spine skeletons using visual scripting tools available in Unity or Unreal Engine. For Unity, you can use the Timeline extension to combine multiple animations and export them without writing code. Unfortunately, if you are looking for a direct equivalent to PaperZD for Spine, it may not exist, but the available tools and runtimes provide robust alternatives for visual scripting with Spine animations.