Qt drawing a filled rounded rectangle with border

You can create a QPainterPath, add the rounded rect to it, and then fill and stroke it:

QPainter p(this);
p.setRenderHint(QPainter::Antialiasing);
QPainterPath path;
path.addRoundedRect(QRectF(10, 10, 100, 50), 10, 10);
QPen pen(Qt::black, 10);
p.setPen(pen);
p.fillPath(path, Qt::red);
p.drawPath(path);

Note that even with antialiasing, 1 px border will probably never really look good, especially on a low DPI desktop monitor, on a high DPI mobile device it will be almost invisible.

If you create the rectangle as QRectF(9.5, 9.5, 100, 50) it will look better with 1 px antialiased border, because it will "snap" on the right pixel:

The answer above (from @dtech) works great, but can sometimes end up with an uneven border around the roundedRect. Using QPainter.strokePath() instead of QPainter.drawPath() can fix this issue.

Here is a python implementation of QPushButton, with paintEvent reimplemented:

# I use PySide6, but whatever library should work.
from PySide6.QtWidgets import QPushButton
from PySide6.QtGui import QPainter, QPainterPath, QBrush, QPen
from PySide6.QtCore import Qt, QRectF

class RoundedButton(QPushButton):
    def __init__(self, text, bordersize, outlineColor, fillColor):
        super(RoundedButton, self).__init__()
        self.bordersize = bordersize
        self.outlineColor = outlineColor
        self.fillColor = fillColor
        self.setText(text)

    def paintEvent(self, event):
        # Create the painter
        painter = QPainter(self)
        painter.setRenderHint(QPainter.Antialiasing)
        # Create the path
        path = QPainterPath()
        # Set painter colors to given values.
        pen = QPen(self.outlineColor, self.bordersize)
        painter.setPen(pen)
        brush = QBrush(self.fillColor)
        painter.setBrush(brush)

        rect = QRectF(event.rect())
        # Slighly shrink dimensions to account for bordersize.
        rect.adjust(self.bordersize/2, self.bordersize/2, -self.bordersize/2, -self.bordersize/2)

        # Add the rect to path.
        path.addRoundedRect(rect, 10, 10)
        painter.setClipPath(path)

        # Fill shape, draw the border and center the text.
        painter.fillPath(path, painter.brush())
        painter.strokePath(path, painter.pen())
        painter.drawText(rect, Qt.AlignCenter, self.text())