OCCUPATIONAL APPLICATIONS Many new occupational back-support exoskeletons have been developed in the past few years both as research prototypes and as commercial products. These devices are intended to reduce the risk of lowerback pain and injury for workers in various possible application sectors, including assembly in automotive and aerospace, logistics, construction, healthcare, and agriculture. This article describes the technologies adopted for back-support exoskeletons and discusses their advantages and drawbacks. Such an overview is intended to promote a common understanding and to encourage discussion among different stakeholders such as developers, ergonomics practitioners, customers, and workers. TECHNICAL ABSTRACT Background: The large prevalence and risk of occupational lower-back pain and injury associated with manual material handling activities has raised interest in novel technical solutions. Wearable back-support exoskeletons promise to improve ergonomics by reducing the loading on the lumbar spine. Purpose: Since many new prototypes and products are being developed, this article presents an up-to-date overview of the different technologies. By discussing the corresponding advantages and drawbacks, the objective is to promote awareness and communication among developers, ergonomics practitioners, customers, and factory workers. Methods: The state-of-the-art is presented with a focus on three technological aspects: (i) the actuators generating assistive forces/torques, with a main distinction between passive and active devices; (ii) the structures and physical attachments that transfer those forces/torques to the user, with structures being soft, rigid, or a combination of the two; and (iii) the control strategies employed (i.e., how devices adjust assistive forces/torques to accommodate different activities and parameters). Discussion: The choice of actuation technology may determine the applicability of a device to different scenarios. Passive exoskeletons appear more suitable for tasks requiring relatively light assistance and little dynamic movements. By contrast, heavier and more dynamic tasks will justify the use of more complex active exoskeletons. While onboard battery power is increasingly present on active exoskeletons, the tradeoff between power autonomy and additional battery mass will probably depend on the