Talking head generation has progressed rapidly from landmark- and GAN-based facial animation to diffusion models, neural rendering, 3D-aware avatars, and foundation-model-assisted systems. This progress has enabled increasingly realistic audio-, image-, and video-driven talking heads, but it has also made the field difficult to navigate because methods differ substantially in their inputs, assumptions, controllability, temporal stability, computational cost, and risks of misuse. This survey provides a critical review of talking head generation techniques, organizing the literature into four broad families: image-driven, audio-driven, video-driven, and 3D/neural-rendering-based approaches. For each family, we discuss the underlying technical ideas, representative methods, strengths, limitations, datasets, and evaluation practices. Beyond cataloguing prior work, we analyse the persistent gap between commonly reported quantitative metrics and perceptual quality, and compare publicly available models in terms of inference time, memory requirements, and human-rated visual quality. We also examine emerging trends, including diffusion-based generation, 3D-aware representation learning, controllable emotional expression, real-time deployment, and the growing importance of provenance, watermarking, and deepfake detection. Finally, we identify open challenges around robust evaluation, identity preservation, lip synchronisation, temporal consistency, demographic fairness, computational efficiency, and responsible use. This review aims to provide researchers and practitioners with a structured and up-to-date map of the talking head generation landscape, while highlighting the technical and societal questions that should shape future work.

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