Linear motor, voice coil, basically an overgrown speaker. Can indeed get quite big, but, that shouldn't be relevant for anything that's been used in computing for quite a long time indeed. Other applications abound, of course, for longer stroke and lower frequency response than say piezo actuators offer, and where the speed/linearity/repeatability is better than a (rotational) motor / geartrain setup (which would be more amenable to a class D amplifier).
To be fair, most voice coil apps are class-D-able too, but there can be some edge cases where linear just beats it out.
Tim