Integrated circuit structures having pre-epitaxial deep via structures, and methods of fabricating integrated circuit structures having pre-epitaxial deep via structures, are described. For example, an integrated circuit structure includes a plurality of horizontally stacked nanowires. A gate structure is over the plurality of horizontally stacked nanowires. An epitaxial source or drain structure is at an end of the plurality of horizontally stacked nanowires. A conductive trench contact structure is vertically over the epitaxial source or drain structure. A conductive via is vertically beneath and extends to the conductive trench contact structure. The conductive via has an uppermost surface above an uppermost surface of the epitaxial source or drain structure.