The 2023 Tipperary Premier Intermediate Hurling Championship was the seventh staging of the Tipperary Premier Intermediate Hurling Championship since its establishment by the Tipperary County Board in 2017 and subsequent rebranding in 2022. The draws for the group stage pairings took place on 3 April 2023. The championship ran from 26 July to 21 October 2023.
The final, a replay, was played on 21 October 2023 at MacDonagh Park in Nenagh, between Lorrha and Thurles Sarsfields, in what was their first ever meeting in the final. Lorrha won the match by 2-13 to 0-18 to claim their first ever championship title.
Relegated from the Tipperary Senior Hurling Championship
Promoted from the Tipperary Intermediate Hurling Championship
Promoted to the Tipperary Senior Hurling Championship
Relegated to the Tipperary Intermediate Hurling Championship