From Stephen A. Camp's blog:
"Ideally, most autos strip the round from the magazine with the rear of the cartridge sliding upward against the breach face. The extractor claw slides over the rim via the extraction groove. The Makarov does not do this. It has a projection at the bottom of the breech face that prevents it. The extractor gets to the cartridge rim by jumping it."
https://hipowersandhandguns.com/MakarovBersa.htm
Looking at the bottom of my Mak's breech face, you can see how it's impossible for the case rim to slide up under the extractor claw, as Mr. Camp explains. It just plows straight into the chamber, up a very shallow feed ramp. And apparently the massive claw has no problem slamming over the case rim.
Why aren't more pistols designed this way? It seems to eliminate a lot of variables and angles that are more likely to cause feeding issues. The 1911's delicate ballet of extractor, feed ramp and feed lips seems unnecessarily complex, comparison. Obviously, there's a reason--or it wouldn't be on, like, just about every other pistol in existence. Maybe it's because tilt barrel pistols generally require the round to feed at a steeper angle... and it's easier for the rim to slide up breech face as it feeds? But that's just a guess.