VSCode + tsx + Auto Attach Debugger : https://github.com/esbuild-kit/tsx

launch.json

{
  "version": "0.2.0",
  "configurations": [
    {
      "type": "node",
      "request": "launch",
      "name": "Run current script",
      "runtimeExecutable": "npx",
      "runtimeArgs": ["tsx"],
      "program": "${file}",
      "skipFiles": ["<node_internals>/**"]
    }
  ]
}