For now, it's Windows/Linux only. I hope to write a Mac platform layer eventually. I just don't currently have a Mac machine to work on...
Metal is an Objective-C API. It is possible to call arbitrary Objective-C APIs from pure C using the Objective-C runtime functions, and Apple themselves recently released a Metal API wrapper written in C++ that works this way. [1] I wouldn't recommend that approach, though. With Objective-C being an almost-pure superset of C, it's a lot easier to just build your code in Objective-C mode and make native Objective-C calls where necessary.
But it's not a big deal to move all the ObjC code into a separate .m source file and expose a smaller and higher level C API.