MX (especially line) mode is VERY good at this!
There is hardly any geometric situation which one cannot deal with, but you will need to know your way around the design options available.
That is exactly why I prefer MX - the designer is not limited to any pre-conceived designs.
Here is eg a ramp / split (which forms part of a systems interchange) which I did, using MX line mode:
On the same interchange, a "loop" ramp:
