Let's see what kind of file system this is:
$ diskutil info / | grep 'File System Personality'
File System Personality: APFS
Is it case sensitive?
$ touch /tmp/{foo,Foo,FoO,fOO}
This looks good, the touch command produced different files:
$ ls /tmp/{foo,Foo,FoO,fOO}
-rw-r--r-- 1 torstein wheel 0B Dec 17 13:12 /tmp/FoO
-rw-r--r-- 1 torstein wheel 0B Dec 17 13:12 /tmp/Foo
-rw-r--r-- 1 torstein wheel 0B Dec 17 13:12 /tmp/fOO
-rw-r--r-- 1 torstein wheel 0B Dec 17 13:12 /tmp/foo
Let's check that they can contain different things as well:
$ for el in /tmp/{foo,Foo,FoO,fOO}; do echo $RANDOM > $el; done
$ cat /tmp/{foo,Foo,FoO,fOO}
22247
22247
22247
22247
Woot?! The same integer in all of them?
Let's check the inodes of the files:
$ stat -f %i /tmp/{foo,Foo,FoO,fOO}
24362032
24362032
24362032
24362032
Argh! It's the same inode. So although macOS shows four files, they're all pointing to the same storage unit. Good grief.