I doubt any of these can do as much as the Adobe option (except Quark), but they might do as much as you need, and it’s something I’m asked about now and again.
Image via Fstoppers
These and a few others mentioned elsewhere:
Anthony Colangelo of Happy Cog reviews Sketch, on A List Apart
Jon Hicks uses Acorn and Sketch
Khoi Vinh on Sketch
Alternative apps to everything in Adobe Creative Cloud, on Mac.Appstorm
15+ alternatives to Adobe Creative Cloud, on Web Designer Depot
If you’ve used any alternatives it’d be great to know what you think.