We demonstrate strong acoustic gain in electric-field biased piezoelectric semiconductors at frequencies near the plasmon frequency in the terahertz range. When the electron drift velocity produced by an external electric field is higher than the speed of sound, Cherenkov radiation of phonons generates amplification of sound. It is demonstrated that this effect is particularly effective at $\ensuremath{\varepsilon}$-near-zero response, leading to giant levels of acoustic gain. Operating at conditions with strong acoustic amplification, we predict unprecedented enhancement of the scattered sound field radiated from an electrically controlled piezoelectric slab waveguide. This extreme sound field enhancement in an active piezo material shows potential for acoustic sensing and loss compensation in metamaterials and nonlinear devices.