Generative artificial intelligence is causing visual communication to take on an interactive character in which both people and computational systems jointly define, develop, test, and enhance creative possibilities. This development is significant for Saudi organisations since visual communication plays a key role in expressing brand identity, narrating service stories, influencing the customer experience, and gaining institutional legitimacy, even though relevant evidence is still dispersed across various fields such as management, marketing, information systems, advertising, and design research. This review gathers thirty peer-reviewed journal studies that were published between 2020 and 2025 and offers an integrative framework for human-AI collaboration in the areas of visual communication and creative strategy. By means of a structured integrative review and thematic synthesis, the study examines the roles of collaboration, the creative outcomes, the organisational capabilities, the governance requirements, and the implications within the Saudi context. The synthesis identifies five recurring mechanisms: humans providing strategic framing, AI carrying out generative expansion, humans taking the lead in curation, validation being based on organisational and cultural criteria, and learning through documented feedback. Even though generative systems can widen the range of ideas, accelerate visualisation, and boost productivity, these advantages do not automatically lead to communication that is distinctive or strategically coherent. Over-reliance on machine suggestions can reduce diversity, while poor delegation, low AI literacy, and insufficient validation can cause errors to be amplified or the brand message to be diluted. The proposed Generative Human-AI Visual Strategy framework regards human judgment as the final authority and views generative AI as a collaborative partner with well-defined boundaries. For Saudi organisations, effective implementation therefore demands involvement from leadership, the capacity to carry out bilingual and cultural interpretation, the introduction of clear review stages, controls over provenance, the development of the necessary capabilities, and feedback loops that transform experimentation into organisational learning.