Every "voxel engine" I've ever seen just draws polygons. One of my co-conspirators on a side project[1] used surface nets over voxels with density bits to create slope-friendly meshes that are also used for physics calculations. Each mesh is pretty large and there are some economies of scale for drawing larger meshes like these.
Minecraft for a long time just batched each visible side, I think even ignoring occlusion, and drew it; I don't know if they precompute larger meshes now.
[1] - http://static.largerussiangames.com/voxels/videos/rigidbodie... (Each 'companion cube' is really attached to a spherical physics body, the physics aren't mapped to the mesh.)