We present results from the first deployment of novel, high definition, compact gas Time Projection Chambers (TPCs) with pixel chip readout as part of the BEAST II beam background measurement project at SuperKEKB. The TPCs provide detailed 3D imaging of ionization from neutron-induced nuclear recoils in a helium and carbon dioxide target gas mixture at standard temperature and pressure. We present the TPC performance and the neutron backgrounds observed during the initial stage of collider commissioning. We find excellent electron background rejection, leading to background-free nuclear recoil measurements above 50 keV ee , despite the extreme high-background environment. We measure an angular resolution better than 20 • for recoil tracks longer than 1.7 mm, corresponding to an average ionization energy of approximately 100 keV ee . We also obtain the full 3D vector direction of helium recoils by utilizing charge profile measurements along the recoil axis, with a correct head/tail assignment efficiency of approximately 80%. With this performance, we present comparisons between measured and simulated event rates, recoil energy spectra, and directional distributions originating from beam-gas and Touschek beam losses at SuperKEKB. We utilize head/tail recognition to distinguish neutron components travelling with positive radial velocity in the Belle II coordinate system from those travelling in the opposite direction. Finally, we present a novel method of discriminating beam-gas interactions from Touschek beam losses that can eliminate the need for dedicated accelerator runs for background measurements. This method is still statisticslimited. However, future studies should be able to verify this method, which in turn could lead to neutron background analysis runs symbiotic with normal Belle II operation. The capabilities demonstrated here also suggest that high definition recoil imaging in gas TPCs is applicable to low energy, low-background experiments, such as directional dark matter searches.