A complete analysis of the ac output current ripple in four-leg voltage source inverters considering multiple modulation schemes is provided. In detail, current ripple envelopes and peak-to-peak profiles have been determined in the whole fundamental period and a comprehensive method providing the current ripple rms has been achieved, all of them as a function of the modulation index. These characteristics have been determined for both phase and neutral currents, considering the most popular common-mode injection schemes. Particular attention has been paid to the performance of discontinuous pulse width modulation (DPWM) methods, including DPWMMAX and DPWMMIN, and their four most popular combinations DPWM0, DPWM1, DPWM2, and DPWM3. Furthermore, a comparison with a few continuous techniques (sinusoidal, centered pulse width modulations, and third harmonic injection) has been provided as well. Moreover, the average switching frequency and switching losses are analyzed, determining which PWM technique ensures minimum output current ripple within the linear modulation range at different assumptions. Numerical simulations and laboratory tests have been conducted to extensively verify all the analytical claims for all the considered PWM injections.