Seismic images of Earth’s interior have revealed two continent-sized anomalies with low seismic velocities, known as the large low-velocity provinces (LLVPs), in the lowermost mantle1. The LLVPs are often interpreted as intrinsically dense heterogeneities that are compositionally distinct from the surrounding mantle2. Here we show that LLVPs may represent buried relics of Theia mantle material (TMM) that was preserved in proto-Earth’s mantle after the Moon-forming giant impact3. Our canonical giant-impact simulations show that a fraction of Theia’s mantle could have been delivered to proto-Earth’s solid lower mantle. We find that TMM is intrinsically 2.0–3.5% denser than proto-Earth’s mantle based on models of Theia’s mantle and the observed higher FeO content of the Moon. Our mantle convection models show that dense TMM blobs with a size of tens of kilometres after the impact can later sink and accumulate into LLVP-like thermochemical piles at