All downloads are in .zip format. (You need to open the .zip archive to access the .vpk file.)
If you can not open or extract the .zip/.rar file, download and install winrar for free.

Double click the .vpk file to automatically install the add-on.
Or, Right Click > Open With > Browse >
\Steam\steamapps\common\left 4 dead 2\bin\addoninstaller

Manual Install
Copy the .vpk to your L4D add-on directory. If this folder does not exist, create this folder.
\Steam\steamapps\common\left 4 dead 2\left4dead2\addons\

Once you have successfully installed your maps you can enable or disable them at any time.

1. Open L4D / L4D2.
2. Click on 'Extras' button from the game menu.
3. Click on the 'Add-ons' option to load all installed addons.
4. From here your list of addons will be displayed. Check / uncheck addons to enable / disable.

You can remove add-ons by deleting them from your /addons/ folder.

Some add-on's might have file-names too long for the Mac to recognize.
Try renaming an add-on to a shorter file-name and try again.

Manual Install
Copy the .vpk to your L4D add-on directory. If this folder does not exist, create this folder.
\left4dead2\addons\