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Headphones icon at the top of an iPhone: what does it mean?

On an iPhone it means Bluetooth headphones are paired, switched on and within range.

What Apple says

What it looks like
A pair of over-ear headphones.
Shown by
iPhone (Apple)

Icons to compare

Sources

Each meaning above is taken from the maker’s own support page, fetched and read on the date shown. The drawing is ours; the real icon on your phone may be drawn a little differently and can change with software updates.