Output circuits using pulse width modulation (PWM) and/or pulse density modulation (PDM) are described. In one aspect, a PWM output circuit includes a PWM modulator that operates based on a square wave signal instead of a sawtooth or triangular wave signal. In another aspect, a PDM output circuit includes a PDM modulator that uses variable reference voltages to reduce variations in switching frequency. In yet another aspect, a dual-mode output circuit supports both PWM and PDM and includes a pulse modulator and a class D amplifier. The pulse modulator performs PWM on an input signal if a PWM mode is selected and performs PDM on the input signal if a PDM mode is selected. The class D amplifier receives a driver signal from the pulse modulator and generates an output signal.