RTOS can be used a lot looser than you describe. Like a build system, scheduling, and interrupt framework that allows you to program an MCU like you describe. Zephyr RTOS and Free RTOS provide easy enough ways to write code that uses blocking APIs but probably runs your code according to the timing constraints if you hold it right. As an alternative, you could write for “bare metal” and handle the control flow, scheduling, interrupting, etc. yourself. If you are writing to “random” addresses according to some datasheet to effect some real world change, you are probably reaching for an RTOS or bare metal unless you are writing OS driversn. If you look at the linux drivers, you will see a lot of similarities to the Zephyr RTOS drivers, but one of them is probably clocking in the MHz while the other in the GHz