This article describes an ultralow-power (ULP) temperature-compensated crystal oscillator (TCXO) with a pulsed-injection XO driver for IoT applications. Temperature compensation is achieved by changing the load capacitance (C $_{L}$ ) between two values using a delta-sigma modulator (Delta sigma M). The complex modulation profile across temperature is approximated as piecewise linear elements that is selected by a coarse temperature sensor. As a result, the power and area of fine-grain look-up tables (LUTs) or a polynomial engine used in prior works can be avoided. The proposed pulsed-injection XO driver that directly replenishes the energy of the C $_{L}$ sustains the XO oscillation for the two different C $_{L}$ states. Implemented in 40-nm CMOS, the proposed 32.768-kHz TCXO achieves an accuracy of +/- 4.2 ppm from -20 degrees C to 85 degrees C with just three-point trimming and an Allan deviation floor of 34 ppb while consuming 43 nW, which is an approximate 8x improvement over the recent state-of-the-art TCXOs.