A nano-microdosimetric tissue-equivalent proportional counter (TEPC) capable of measuring microdosimetric spectra of ionizing radiation in the range 500–25 nm was designed, constructed and deeply characterized in order to fill the gap between nanodosimetry and experimental microdosimetry. This work describes the first microdosimetric characterization at nanometric level of a 195.2 MeV/u carbon ion beam available at CNAO (National Centre for Oncological Hadron Therapy). The detector was properly placed at different depths in PMMA phantom across the depth-dose profile of the primary beam for measuring microdosimetric distributions for different simulated site sizes down to 25 nm at different depths. The acquired spectra show that this TEPC is...