Real production comparison: ElevenLabs vs PlayHT vs Azure TTS vs Cartesia for phone-quality voice AI

We’ve been running voice AI agents in production for 18+ months doing real phone calls (outbound lead qualification and inbound customer care). During this time we’ve tested multiple TTS providers. Sharing our honest assessment because most “comparisons” online are either sponsored or based on 30-second demos, not thousands of hours of real phone conversations. Important context: our use case is Italian-language phone calls over standard telephony

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