Tetrahydrophthalazine derivatives have found important applications in pharmaceutical research, but existing synthetic methods are unable to access them regio‐ and stereoselectively. Here, a new approach is presented that addresses these challenges by utilizing a 6‐endo‐trig radical cyclization in the key step. The desired tetrahydrophthalazines can be accessed in high yields (55–98 %) and high diastereoselectivities for the trans‐product (>95:5) starting either from readily accessible hydrazones, or from the corresponding aldehydes and substituted Boc‐hydrazides in a one‐pot process. The synthetic versatility of the tetrahydrophthalazine core was demonstrated by its straightforward conversion to dihydro‐phthalazines, phthalazines, or pyrazolo dione derivatives. Furthermore, the N−N bond was reduced to afford a new route to 1,4‐diamines.