Modern video models possess strong visual priors, yet do not natively represent human action in metric 3D space. We present EgoGeneralist, which adapts pretrained video generators to unify action-conditioned video generation, pose estimation, and joint action-video generation for egocentric manipulation. Our role-adaptive action renderer provides video-native representations for multidirectional action-video learning, making metric motion usable as both a spatial control signal and a recoverable generation target. Cross-stream action-video coupling establishes close correspondence between metric motion and visual dynamics through lightweight adaptation while preserving the pretrained visual prior. Together, these designs establish a generalist framework spanning six action-video tasks. With only narrow-domain data, EgoGeneralist generalizes to diverse unseen scenes and interactions with effective action control and visual quality, bridging pretrained visual knowledge and metric 3D human motion.

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