Electromagnetic field confinement is crucial for nanophotonic technologies, since it allows for enhancing light–matter interactions, thus enabling light manipulation in deep sub-wavelength scales. In the terahertz (THz) spectral range, radiation confinement is conventionally achieved with specially designed metallic structures—such as antennas or nanoslits—with large footprints due to the rather long wavelengths of THz radiation. In this context, phonon polaritons—light coupled to lattice vibrations—in van der Waals (vdW) crystals have emerged as a promising solution for controlling light beyond the diffraction limit, as they feature extreme field confinements and low optical losses. However, experimental demonstration of nanoscale-confined phonon polaritons at THz frequencies has so far remained elusive. Here, it is provided by employing scattering-type scanning near-field optical microscopy combined with a free-electron laser to reveal a range of low-loss polaritonic excitations at frequencies from 8 to 12 THz in the vdW semiconductor α-MoO₃. In this study, THz polaritons are visualized with: i) in-plane hyperbolic dispersion, ii) extreme nanoscale field confinement (below λ_o ⁄75), and iii) long polariton lifetimes, with a lower limit of >2 ps.