Diamond thin films were deposited on WC-Co tools using the hot-filament chemical vapor deposition (HFCVD) technique at varying pressures and oxygen doping levels. As the oxygen doping content increased, the purity of the diamond phase improved, and the density of the <111> crystal plane on the film's surface increased. The growth rate of diamond films initially increased and then decreased under low pressure, with a corresponding decrease in residual compressive stress. Conversely, at high pressure, increased oxygen doping enhanced the diamond phase purity and growth rate while reducing residual compressive stress. Cutting experiments on pre-sintered zirconia ceramics for milling linear slots and engraving dentures demonstrated that diamond-coated milling cutters exhibited superior cutting performance under consistent oxygen and carbon source concentrations and stable air pressure conditions. The oxygen-doped diamond-coated milling cutter grown at a pressure of 1 KPa exhibited the longest service life, attributed to its reduced surface roughness, lower cutting force, and increased density of the <111> crystal plane orientation. This cutter could machine up to 1300 crowns, making it approximately 80% more durable than non‑oxygen-doped diamond-coated milling cutters and about 20 times more durable than uncoated ones.