Semantic communications mark a paradigm shift from bit-accurate transmission toward meaning-centric communication, essential as wireless systems approach theoretical capacity limits. The emergence of generative AI has catalyzed generative semantic communications, where receivers reconstruct content from minimal semantic cues by leveraging learned priors. Among generative approaches, diffusion models stand out for their superior generation quality, stable training dynamics, and rigorous theoretical foundations. However, the field currently lacks systematic guidance connecting diffusion techniques to communication system design, forcing researchers to navigate disparate literatures. This article provides the first comprehensive tutorial on diffusion models for generative semantic communications. We present score-based diffusion foundations and systematically review three technical pillars: conditional diffusion for controllable generation, efficient diffusion for accelerated inference, and generalized diffusion for cross-domain adaptation. In addition, we introduce an inverse problem perspective that reformulates semantic decoding as posterior inference, bridging semantic communications with computational imaging. Through analysis of human-centric, machine-centric, and agent-centric scenarios, we illustrate how diffusion models enable extreme compression while maintaining semantic fidelity and robustness. By bridging generative AI innovations with communication system design, this article aims to establish diffusion models as foundational components of next-generation wireless networks and beyond.

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