\chapter*{Abstract} \adjustmtc \addcontentsline{toc}{chapter}{Abstract} In the past decades, cryptographic advancements and techniques like formal verification have steadily improved software security. Meanwhile, the field of hardware security has not kept pace. Research has made progress in subfields such as resilience to Side-Channel Attacks (SCA) and Physical Unclonable Functions (PUFs). However, the state of the art still often relies on microelectronic integration to achieve security by obscurity insted of more fundamental security guarantees. While effective, system-level tamper protection is only used in few devices such as Hardware Security Modules (HSMs) and card payment terminals. Due to the high cost and low performance of HSMs in particular, they remain relegated to niche applications such as Transport Layer Security (TLS) certificate issuance and payment data processing. In this thesis, we introduce the Inertial Hardware Security Module (IHSM), a new architecture for low-cost hardware security modules that provide high-level active tamper protection, while supporting computing payloads of much larger size, weight and power dissipation compared to conventional HSMs. In an IHSM, the costly and difficult to source tamper-sensing mesh of a conventional HSM is replaced by a mesh made from simple PCBs that is rotating at high speed around the payload. Since the mesh is rotating at high speed, it cannot be manipulated, and the security of conventional meshes created in bespoke manufacturing processes can be achieved using much simpler and less expensive construction techniques. We present the results of a survey of approximately 30 real world tamper sensing mesh implementations. Based on our findings, we deduce design criteria for secure meshes and contextualize our design. We further motivate the necessity of secure hardware by presenting an analysis of problematic aspects in the hardware security design of Germany's new national electronic health record system. To pave the way for practical implementations of IHSM technology, we present solutions to key engineering challenges in IHSM construction. We present a design and analysis of highly symmetric planar inductors for rotating wireless power transfer that improves self-resonant frequency by up to \qty{58}{\percent} and inductance by up to \qty{6.5}{\percent} in our tests. Complementing this research, we present a high-fidelity, low-cost monitoring system for security meshes that is based on the principles of Time-Domain Reflectometry (TDR), reaching \qty{184}{\pico\second} time resolution. We validate our system and find that it is able to reliably detect several classes of advanced physical attacks. We find that our system is sensitive enough to detect differences between identical copies of the same mesh, suggesting PUF-like properties. Applying IHSM technology, we analyse two use cases that are unlocked by the increased size and power dissipation capability of IHSMs. In the first analysis, an IHSM-secured relay node for Quantum Key Distribution (QKD) systems is proposed, enabling their practical implementation across arbitrary distances, which requires trusted relay stations due to fundamental physical limitations. In the study, IHSMs are adapted for such high-security QKD relays by securing the IHSM mesh passthrough with a secondary tamper-sensing mesh. In this setup, a bracket design is proposed that supports passing through optical fibers at low loss. The second proposed use case adapts an IHSM enclosure to the size, power and thermal dissipation requirements of a high-power server to support co-located secure Multiparty Computation (MPC) workloads. In practical MPC deployments, nodes are distributed across data centers to avoid a single point of failure for physical attacks. As a result, practical MPC deployments are limited by network bandwidth and latency constraints. Using IHSMs, physically secured MPC nodes can be deployed within the same data center, increasing bandwidth, reducing latency and unlocking a new performance spectrum.