Printhead fabrication methods and printheads are described. According to one aspect, a printhead fabrication method includes providing a spacer layer 36 over a plurality of bottom electrodes 10 of a printhead, providing a plurality of top electrodes 26 of the printhead over the spacer layer 36 and the bottom electrodes 10, aligning a plurality of printhead features 38 of the spacer layer 36 with a plurality of printhead features 28, 16 of the top electrodes 26 and the bottom electrodes 10, and bonding the spacer layer 36 with the top electrodes 26 and the bottom electrodes 10 with the printhead features 38 of the spacer layer 36 aligned with the printhead features 28, 16 of the top electrodes 26 and the bottom electrodes 10.