There are four independently controllable articulations that may double up in the same manner of articulation: labial, coronal, dorsal, and pharyngeal. Approximant consonants, such as and, may be either doubly or secondarily articulated. For example, in English, is a labialized velar that could be transcribed as, but the Japanese is closer to a true labial–velar. However, it is normal practice to use the symbols and for the labialized approximants, and some linguists restrict the symbols to that usage. No claims have ever been made for doubly articulated flaps or trills, such as a simultaneous alveolar–uvular trill,, and these are not expected to be found. Several claims have been made for doubly articulated fricatives or affricates, most notoriously a Swedish phoneme which has its own IPA symbol,. However, laboratory measurements have never succeeded in demonstrating simultaneous frication at two points of articulation, and such sounds turn out to be either secondary articulation, or a sequence of two non-simultaneous fricatives. Such sounds can be made, with effort, but it is very difficult for a listener to discern them, and therefore they are not expected to be found as distinctive sounds in any language. Clicks are sometimes said to be doubly articulated, as they involve a coronal forward articulation, which defines the various 'types' of clicks and the IPA letter assigned to them, plus a dorsal closure. However, this second, dorsal place of closure functions as part of the controlling mechanism of the lingual ingressive airstream used to generate the click. Thus, much as the glottal closure of ejectives is not considered to be a second place of articulation, clicks are not generally described as such either. Indeed, it is possible to have a true doubly articulated click, such as the labial-dental allophone,, of the bilabial click in Taa.
This leaves stops, and both oral and nasal doubly articulated stops are found. However, there is a great asymmetry in the places of their articulation. Of the six possible combinations of labial, coronal, dorsal, and pharyngeal, one is common, and the others vanishingly rare.
The common articulation is labial–dorsal, which includes labial–velar stops such as the mentioned above, and labial-uvular stops such as . Labial-velar stops are found throughout West and Central Africa, as well as eastern New Guinea. Labial-uvular stops are much rarer, but have been found in three Mangbutu-Efe languages spoken in the Democratic Republic of the Congo and Uganda: Mamvu, Lese, and Efe. These languages contain some highly unusual doubly articulated stops that have been confirmed by acoustic and aerodynamic measurements, including a phonemic labial-uvular stop with a voiceless uvular part and a voiced implosive bilabial part, , a non-phonemic labial-velar stop with a voiced velar part and a voiceless bilabial part, , and a non-phonemic voiceless labial-velar stop with a trilled release, . Fully voiceless labial-uvular occurs also, as an allophone of /q͡ɓ/.
A second possibility, labial–coronal, is attested phonemically by labial–alveolar and labial–postalveolar in a single language, Yélî Dnye of New Guinea. Some West African languages, such as Dagbani and Nzema, have labial–postalveolars as allophones of labial–velars before high front vowels.
A third possibility, coronal–dorsal, is found marginally in a few languages. Isoko, spoken in Nigeria, has laminaldental stops that in some dialects are realized as dental–palatal stops. However, these are not contrastive with either dental or palatal stops, unlike the articulations mentioned above, and Peter Ladefoged considers them to be "accidental contacts in two regions", rather than being inherently double. Hadza has alveolar–palatal lateral affricates, but the dental contact is optional. Similarly, several languages of Australia, such as Maung, have dental–palatals which are variants of laminal postalveolars, with an "extended closure covering the entire region from the teeth to the hard palate". In both cases, the double articulations are variants of laminal consonants, which have inherently broad contact with the roof of the mouth. Rwanda is sometimes noted as having my, by, tw, etc., but these are consonant sequences, not double articulation. If the sj-sound in Swedish is, in fact, a velar fricative and a post-alveolar fricative pronounced at the same time, then it is a coronal-dorsal consonant.
The other three possibilities, which would involve the epiglottis, had not been known until recently. However, with the advent of fiber-opticlaryngoscopy, a greater variety of epiglottal and laryngeal activity has been found than had been expected. For example, the Somali was recently found to be a uvular–epiglottal consonant. It is not known how widespread such sounds might be, or if epiglottal consonants might combine with coronal or labial consonants.
Triply articulated consonants are only attested as glottalized doubly articulated consonants, and this can be argued to be an effect of phonation or airstream mechanism rather than as a third articulation, just as other glottalized consonants are not considered to be doubly articulated. The most obvious case are the various types of glottalized clicks mentioned above. Another example is 'unreleased' final in Vietnamese, which after or is often labial-velar.
