The rapid advancement of large language models (LLMs) has intensified the need for effective mechanisms to transform continuous multimodal data into discrete representations suitable for language-based processing. Discrete tokenization, with vector quantization (VQ) as a central approach, offers both computational efficiency and compatibility with LLM architectures. Despite its growing importance, there is a lack of a comprehensive survey that systematically examines VQ techniques in the context of LLM-based systems. This work fills this gap by presenting the first structured taxonomy and analysis of discrete tokenization methods designed for LLMs. We categorize 8 representative VQ variants that span classical and modern paradigms and analyze their algorithmic principles, training dynamics, and integration challenges with LLM pipelines. Beyond algorithm-level investigation, we discuss existing research in terms of classical applications without LLMs, LLM-based single-modality systems, and LLM-based multimodal systems, highlighting how quantization strategies influence alignment, reasoning, and generation performance. In addition, we identify key challenges including codebook collapse, unstable gradient estimation, and modality-specific encoding constraints. Finally, we discuss emerging research directions such as dynamic and task-adaptive quantization, unified tokenization frameworks, and biologically inspired codebook learning. This survey bridges the gap between traditional vector quantization and modern LLM applications, serving as a foundational reference for the development of efficient and generalizable multimodal systems. A continuously updated version is available at: https://github.com/jindongli-Ai/LLM-Discrete-Tokenization-Survey.

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