When it comes to Lazarus and OS X. I've found that using the Qt version from fink appears to be the best option and if I remember you can compile 64bit GUI's with it.
Am I missing something or does it actually spit out super speedy code and performance?.
Game wise i would say the biggest lack is a decent sized game related community.
Updates are rather rare. But it seems to be supported. Why did you got it? What made you curious?
At the moment there is no perfect cross-platform solution out there.