This work presents a 5 Gb/s PAM4 hybrid voltage-mode transmitter with current mode continuous-time linear equalization. The transmitter achieves a large output signal swing with a PAM4 CMOS output driver. CTLE is embedded in the transmitter's output stage to compensate a range of channel loss without reducing the signal swing at the receiver front end. Fabricated in 65 nm CMOS process, the transmitter dissipates 20.4 mW in the output driver at 5 Gb/s while transmitting 1.1 V peak-to-peak differential output swing across 2 m UTP cable. © 2022 IEEE.