The cochlea is one of the most complex organs in the human body, exhibiting a complex interplay of characteristics in acoustic, mechanical, electrical, and biological functions. Functional cochlea models are an essential platform for studying hearing mechanics and are crucial for developing next-generation auditory prostheses and artificial hearing systems for sensorineural hearing restoration. Recent advances in additive manufacturing, organ-on-a-chip models, drug delivery platforms, and artificial intelligence have provided valuable insights into how to manufacture artificial cochlea models that more accurately replicate the complex anatomy and physiology of the inner ear. This paper reviews recent advancements in the applications of advanced manufacturing techniques in reproducing the physical, biological, and intelligent functions of the cochlea. It also outlines the current challenges to developing mechanically, electrically, and anatomically accurate functional models of the inner ear. Finally, this review identifies the major requirements and outlook for impactful research in this field going forward. Through interdisciplinary collaboration and innovation, these functional cochlea models are poised to drive significant advancements in hearing treatments, and ultimately enhance the quality of life for individuals with hearing loss.