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Wispr Flow handles the transcription, Vox provides the microphone and the button.
1

Turn off Vox dictation

Otherwise both tools transcribe at once. See Use another dictation tool instead.
2

Set Vox as Wispr Flow's microphone

In Wispr Flow, open Settings and set the input device to Vox. See Use Vox as a microphone anywhere.
3

Note Wispr Flow's activation key

Open Wispr Flow settings and set its dictation shortcut to one of your Vox buttons. Make sure Use Vox in other apps is enabled in Vox so the audio is routed to Wispr Flow.
4

Map a Vox button to it

In Vox, open Buttons and assign the Wispr Flow push-to-talk shortcut to a button gesture. See Map shortcuts to your buttons.
Vox buttons support press, double press, and hold. Map a press or double press to Wispr Flow’s push-to-talk shortcut if it supports that gesture, or map the button’s hold gesture to the shortcut Wispr Flow uses for push-to-talk.
Vox noise suppression is currently an internal experiment and is not available as a user-facing setting. If it becomes available, avoid using it with external dictation tools in general because it can hurt speech-to-text performance.

Troubleshooting

Likely the hold vs tap problem above. Switch Wispr Flow to a toggle trigger if it offers one.
Check that Vox is connected and that Wispr Flow has microphone permission.
Vox dictation is still on. Turn it off.