This study investigates direct powder forging (DPF) as a new approach for near-net-shape processing of titanium alloys using a coarse particle size distribution (PSD) between 90 and 250 μm. This route was utilised to takes advantage of DPF’s enclosed nature to make near-net-shape components with conventional forging equipment, making it attractive and viable even for reactive powder such as titanium. In this study, the uncompacted Ti-6Al-4V ELI powder was sealed under vacuum in a stainless-steel canister and hot forged in air to produce a fully dense titanium femoral stem. After the final forging stage, the excess material in the flash region was cut, which efficiently released the canister, revealing the forged part with minimal surface contamination. The as-forged microstructure comprises coarse β grains with a martensitic structure. The subsequent annealing was able to generate a fine and homogenous lamellar microstructure with mechanical properties that respects the surgical implant standard, showing that DPF offers significant potential for forged titanium parts. Therefore, the DPF process provides a suitable alternative to produce titanium components using basic equipment, making it more available to the industry.