The information capacity of an optical channel under power constraints is ultimately limited by the quantum nature of transmitted signals. We discuss currently available and emerging photonic technologies whose combination can be shown theoretically to enable nearly quantum-limited operation of a noisy optical communication link in the photon-starved regime, with the information rate scaling linearly in the detected signal power. The key ingredients are quantum pulse gating to facilitate mode selectivity, photon-number-resolved direct detection, and a photon-efficient high-order modulation format such as pulse position modulation, frequency shift keying, or binary phase shift keyed Hadamard words decoded optically using structured receivers.