Most languages of sub-Saharan Africa (notably excepting Swahili in the East, and Wolof and Fulani in the West) are tonal. Hausa is tonal, although it is a distant relative of the Semitic languages, which are not.
There are numerous tonal languages in East Asia, including all the Chinese dialects (although Shanghainese is generally considered as only marginally tonal, with characteristics of pitch accent), Vietnamese, Thai, Lao, and Burmese (but not Mongolian, Khmer, Malay, standard Japanese or standard Korean). In Tibet, the Central and Eastern dialects of Tibetan (including that of the capital Lhasa) are tonal, while the dialects of the West are not.
Many of the languages of New Guinea are tonal, such as those of the Eastern Highlands and the Sko and Lakes Plain families.
Some of the native languages of North and South America possess tonality, especially the Na-Dené languages of Alaska and the American Southwest (including Navajo), and the Oto-Manguean languages of Mexico. Among the Mayan languages, which are mostly non-tonal, Yucatec (with the largest number of speakers), Uspantek and one dialect of Tzotzil, have developed tones.
Many sub-Saharan languages (such as Hausa) have a scheme in which individual syllables in a word have a fixed pitch. High and low pitch are always permissible, and sometimes a middle level of pitch occurs as well. However, some are more complex. In Yoruba there are three pitches (high, low, and middle) and the meaning of a word is determined by the pitch on the vowels. For example, the word "owo" in Yoruba could mean "broom", "hand", or "respect" depending on how the vowels are pitched. Also, "you" (singular) in Yoruba is o in a middle pitch, while the word for "he, she, it" is o in a high pitch. Change of pitch is used in some African languages (such as Luo) for grammatical purposes, such as marking past tense.
Ancient Greek had a tonal pattern wherein, in isolated words, exactly one mora was high, and the others low. A short vowel formed a single mora, and therefore had only high or low tone, whereas a long vowel comprised two morae, and could therefore be low, or rising (from low to high), or falling (from high to low). Note that the scheme was more complex when words were grouped together, as they could form accentuation units with proclitic words at the start and enclitic words at the end, and such accentuation units could have multiple accents. By the start of the Middle Ages, this tonal accent system had been simplified to a stress accent system, but remained recorded in written Greek until the 1970's.
In the Japanese of Tokyo, tonal patterns are adapted to multi-syllable words. Every word must contain a single continuous chain of high pitched moras, beginning with either the first or second mora. Moras preceding and following this chain, if any, must be low. E.g., the city name Kyōto has tone KYOoto, with the pitch pattern high-low-low. The words for "chopstick", "edge" and "bridge" all have the consonant-vowel structure hashi, but the first has the pitch pattern high-low, the second low-high, while the third is also low-high but is followed by an obligatory low in the next word.
Tonal contours (rising, falling, or even more elaborate ones) are present in many languages, such as Thai, Vietnamese and the many Chinese dialects. In Standard Thai, every word has one of five associated contours: high even, middle even, low even, rising, or falling. Northern varieties of Vietnamese has six tones which utilise pitch contours as well as phonations: mid level, low falling, high rising, mid dipping-rising, high creaky-rising (which is absent in the South) and low falling constricted. Mandarin has four tones, similar to Thai's without the middle tone. Cantonese has at least 8 tonal contours: high even, high falling (which is becoming obsolete, and changing to high even), high rising, middle even, middle rising, low even, low falling and low rising. Two of them (high even and middle rising) are often superimposed upon words with other tone contours to indicate emotional closeness or familiarity, in a manner parallel to the diminutive suffixes of many Romance and Slavic languages.
More recently, a statistical analysis conducted by researchers at the University of Edinburgh highlighted a correlation between the microcephaly genes MCPH1 and ASPM with the tonality of language .
On the other hand, Vietnamese is written with quốc ngữ, a Latin-based alphabet that denotes tones using diacritical marks above or below the base vowels; this was possibly inspired by a similar system used to write Ancient Greek. So too, Yoruba, almost alone among the tonal languages of Africa, is often written with tonal marks. The tonal marking of Navajo is especially simple, as only a single diacritic is needed to mark high, low, rising and falling tones.