Remote sensing images (RSIs) capture both natural and human-induced changes on the Earth's surface. Semantic segmentation (SS) of RSIs enables the fine-grained interpretation of surface features, making it a critical task in RS analysis. With the increasing diversity and volume of RSIs collected by sensors on various platforms, traditional processing methods struggle to maintain efficiency and accuracy. In response, deep learning (DL) has emerged as a transformative approach, enabling substantial advances in remote sensing image semantic segmentation (RSISS). As researchers continue to explore end-to-end SS, DL-based RSISS has undergone a structural evolution from pixel-level and patch-based classification to tile-level and image-level segmentation. However, existing reviews often focus on individual components, such as supervision strategies or fusion stages, and lack a unified operational perspective aligned with segmentation granularity and the training/inference pipeline. This paper provides a comprehensive review by organizing DL-based RSISS into a pixel-patch-tile-image hierarchy, covering early pixel-based methods, prevailing patch-based and tile-based techniques, and emerging image-based approaches. Specifically, the survey analyzes four supervision strategies, eleven feature extraction strategies, and six information fusion strategies, revealing the field's progression from local to global feature extraction, from traditional DL architectures to foundation models, and from unimodal to multimodal segmentation. This review offers a holistic and structured understanding of DL-based RSISS, highlighting representative datasets, comparative insights, and open challenges related to data scale, model efficiency, domain robustness, and multimodal integration. Furthermore, to facilitate reproducible research, curated code collections are provided at: https://github.com/quanweiliu/RSISS.

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