The integration of optical receivers in nanoscale CMOS technologies is challenging due to less intrinsic gain and more noise compared to SiGe BiCMOS technologies. Recent research revealed that low-noise, high-gain, and low-power CMOS optical receivers can be designed by limiting the bandwidth of the front-end followed by equalization techniques that benefit from good switching characteristics offered by CMOS technologies. In this tutorial brief, the operation of decision-feedback equalization, feed-forward equalization, and continuous-time linear equalization is reviewed in the context of high baud-rate 2-PAM and 4-PAM modulation. Recent advances and techniques in 4-PAM optical receivers are reviewed and compared in terms of speed, sensitivity, bandwidth, and efficiency.