In this quick video i use a basic low poly environment i created in blender and use the new 'height blending mask' and 'realtime tesselation' options in substance painter 2019. Substance works directly with most game engines and i know for sure that what you see is what you will get in your game engine when you use substance :) Substance materials can directly import into UE,Unity, Lumberyard etc with paramaters to interactively blend and mix materials as you see here! Exciting! :/