You can use one of the following:

`allowImportingTsExtensions: true` (https://www.typescriptlang.org/tsconfig/#allowImportingTsExt..., useful if you're running `tsc` in noEmit mode as a linter)

`rewriteRelativeImportExtensions: true` (https://www.typescriptlang.org/tsconfig/#rewriteRelativeImpo..., useful if you're using `tsc` to compile TS files to JS.

This allows you to use fully-specified imports in TypeScript files, which works basically everywhere — NodeJS, TypeScript, bundlers, etc.

The exceptions are browsers (obviously, only normal JS syntax there), and packages inside `node_modules`, which NodeJS will not do any type stripping for. So if you're writing a library, you'll probably still need to distribute the compiled sources, rather than distributing the raw TypeScript files alone. Or you use the JSDoc syntax for TypeScript, which can do everything that .ts files can do, but is more verbose and idiosyncratic.

I transpile for prod, but use --strip-types when running in dev, and all I had to do was to make a 10-line ESM register hook that rewrites .js to .ts if the .js import fails, and then a one-liner import register trampoline script. Not sure I'd do that in prod, but works fine in dev at least.

This way I could just use node --watch instead of tsx or nodemon.