Abstract Extremely nonlinear terahertz (THz)-matter interactions and applications have positioned themselves as the next frontier in quantum information, nonlinear optics, and particle acceleration. However, the absence of free-space highly intense THz sources and the diffraction limit, which prevents THz waves from being concentrated to the nanoscale scale, are inhibiting the growth of extreme THz. To address this difficulty, suitably extremely concentrated THz sources are being produced, while (non-)resonant artificial metastructures are being widely used to enhance local fields, resulting in deep-subwavelength (<λ/10³) confinement of highly enhanced THz fields in micro-/nano-gaps. We discuss solid-state stable sources of intense THz radiation generated by femtosecond lasers in this Review, with a special emphasis on the lithium niobate-based tilted pulse front approach and the nonlinear THz metasurfaces allowed by it. Finally, we forecast the field’s future directions in extreme THz research.