SUMMARY Tsunami generation by offshore earthquakes is a problem of scientific interest and practical relevance, and one that requires numerical modelling for data interpretation and hazard assessment. Most numerical models utilize two-step methods with one-way coupling between separate earthquake and tsunami models, based on approximations that might limit the applicability and accuracy of the resulting solution. In particular, standard methods focus exclusively on tsunami wave modelling, neglecting larger amplitude ocean acoustic and seismic waves that are superimposed on tsunami waves in the source region. In this study, we compare four earthquake-tsunami modelling methods. We identify dimensionless parameters to quantitatively approximate dominant wave modes in the earthquake-tsunami source region, highlighting how the method assumptions affect the results and discuss which methods are appropriate for various applications such as interpretation of data from offshore instruments in the source region. Most methods couple a 3-D solid earth model, which provides the seismic wavefield or at least the static elastic displacements, with a 2-D depth-averaged shallow water tsunami model. Assuming the ocean is incompressible and tsunami propagation is negligible over the earthquake duration leads to the instantaneous source method, which equates the static earthquake seafloor uplift with the initial tsunami sea surface height. For longer duration earthquakes, it is appropriate to follow the time-dependent source method, which uses time-dependent earthquake seafloor velocity as a forcing term in the tsunami mass balance. Neither method captures ocean acoustic or seismic waves, motivating more advanced methods that capture the full wavefield. The superposition method of Saito et al. solves the 3-D elastic and acoustic equations to model the seismic wavefield and response of a compressible ocean without gravity. Then, changes in sea surface height from the zero-gravity solution are used as a forcing term in a separate tsunami simulation, typically run with a shallow water solver. A superposition of the earthquake and tsunami solutions provides an approximation to the complete wavefield. This method is algorithmically a two-step method. The complete wavefield is captured in the fully coupled method, which utilizes a coupled solid Earth and compressible ocean model with gravity. The fully coupled method, recently incorporated into the 3-D open-source code SeisSol, simultaneously solves earthquake rupture, seismic waves and ocean response (including gravity). We show that the superposition method emerges as an approximation to the fully coupled method subject to often well-justified assumptions. Furthermore, using the fully coupled method, we examine how the source spectrum and ocean depth influence the expression of oceanic Rayleigh waves. Understanding the range of validity of each method, as well as its computational expense, facilitates the selection of modelling methods for the accurate assessment of earthquake and tsunami hazards and the interpretation of data from offshore instruments.