The Tōhoku region , Northeast region, Ōu region , or Northeast Japan consists of the northeastern portion of Honshu, the largest island of Japan. This traditional region consists of six prefectures (ken): Akita, Aomori, Fukushima, Iwate, Miyagi, and Yamagata.

Honshu , historically called Akitsushima , is the largest and most populous island of Japan. It is located south of Hokkaidō across the Tsugaru Strait, north of Shikoku across the Inland Sea, and northeast of Kyūshū across the Kanmon Straits. The island separates the Sea of Japan, which lies to its north and west, from the North Pacific Ocean to the south and east. It is the seventh-largest island in the world, and the second-most populous after the Indonesian island of Java.