In Alzheimer's disease (AD) and tauopathies, tau aggregation accompanies progressive neurodegeneration. Aggregated tau appears to spread between adjacent neurons and adjacent brain regions by prion-like seeding. Hence, inhibitors of this seeding offer a possible route to managing tauopathies. Here, we report the 1.0 Å resolution micro-electron diffraction structure of an aggregation-prone segment of tau with the sequence SVQIVY, present in the cores of patient-derived fibrils from AD and tauopathies. This structure illuminates how distinct interfaces of the parent segment, containing the sequence VQIVYK, foster the formation of distinct structures. Peptide-based fibril-capping inhibitors designed to target the two VQIVYK interfaces blocked proteopathic seeding by patient-derived fibrils. These VQIVYK inhibitors add to a panel of tau-capping inhibitors that targets specific polymorphs of recombinant and patient-derived tau fibrils. Inhibition of seeding initiated by brain tissue extracts differed among donors with different tauopathies, suggesting that particular fibril polymorphs of tau are associated with certain tauopathies. Donors with progressive supranuclear palsy exhibited more variation in inhibitor sensitivity, suggesting that fibrils from these donors were more polymorphic and potentially vary within individual donor brains. Our results suggest that a subset of inhibitors from our panel could be specific for particular disease-associated polymorphs, whereas inhibitors that blocked seeding by extracts from all of the tauopathies tested could be used to broadly inhibit seeding by multiple disease-specific tau polymorphs. Moreover, we show that tau-capping inhibitors can be transiently expressed in HEK293 tau biosensor cells, indicating that nucleic acid-based vectors can be used for inhibitor delivery. Tau pathology is a marker of neurodegeneration both in AD, 2 which is accompanied by deposits of aggregated -amyloid, and pure tauopathies, which lack aggregated -amyloid (1, 2). The spreading of minimal units of tau pathology-aggregates of tau, termed seeds-converts inert, soluble tau monomers in recipient cells into pathological aggregates through a process called prion-like seeding, in principle connecting seeding to the progressive cascade of neurodegeneration that is characteristic of tauopathies and AD (2-5). The amyloid core of tau, like other amyloidogenic proteins, is formed by steric zippers with rich  character, tightly interdigitated side chains, and strong shape complementarity (6, 7). Amyloid structures are particularly stable relative to other protein folds owing to steric zipper interactions and an extensive network of hydrogen bonds that forms along the fibril axis (8, 9), potentially explaining their ability to spread transcellularly to distant, but anatomically connected, brain regions. Often the aggregation of amyloid proteins results in a given sequence forming different folds-structural polymorphsthat are associated with different neurodegenerative diseases. For tau, this is exemplif...