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What is the most neatest Open Source smartwatch?
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Gatgetbridge (your link) has a breakdown of devices they support https://gadgetbridge.org/gadgets/ . You can click through the vendors to find devices which are both "highly supported" and "no vendor-pair". Meaning most/all the features work without any reliance on the vendor app.
As for the similarity you are asking about with pixel->GrapheneOS, there are very few watches that can run an alternative open source firmware or operating systems apart from the ones that are already open source, like bangle.js, pinetime, etc. Wearables are even more specialized than phones, they require specialized code designed specifically for them and would likely require pretty extreme effort to reverse-engineer.
I use a pebble 2 HR with gadgetbridge but the watch it self runs the old pebble firmware which gadgetbridge talks to. This is fine for me, but if you are looking for a more modern watch you may have to make some compromises.