Hi, @XXalessio.amodioXX, the messy appearance of the DWG file is caused by layout/model arrangement, because you have different viewports in your sheet and AutoCAD needs to organize them in the same model space. As you see, CAD layout is equal to Revit sheet but in model elements are spread, there is no other way to do it unless you place all elements together in one view.
I suggest you two trys:
1, Using your second workaround for export, in Modify DWG/DXF Export Setup window change units to milimeters in order to set text size with model (I'm not so shure at all if it works)
2, Export CAD layout to DWG, as in this link:
https://forums.autodesk.com/t5/autocad-forum/convert-paperspace-layout-to-new-dwg-file/m-p/2881198#M...
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