A long-standing goal of 3D human reconstruction is to create lifelike and fully detailed 3D humans from single-view images. The main challenge lies in inferring unknown body shapes appearances and clothing details in areas not visible in the images. To address this we propose SiTH a novel pipeline that uniquely integrates an image-conditioned diffusion model into a 3D mesh reconstruction workflow. At the core of our method lies the decomposition of the challenging single-view reconstruction problem into generative hallucination and reconstruction subproblems. For the former we employ a powerful generative diffusion model to hallucinate unseen back-view appearance based on the input images. For the latter we leverage skinned body meshes as guidance to recover full-body texture meshes from the input and back-view images. SiTH requires as few as 500 3D human scans for training while maintaining its generality and robustness to diverse images. Extensive evaluations on two 3D human benchmarks including our newly created one highlighted our method's superior accuracy and perceptual quality in 3D textured human reconstruction. Our code and evaluation benchmark is available at https://ait. ethz. ch/sith.