Two things help a lot:
- Tracking, either with a proper telescope mount or as I did, a star adventurer. You align it using the pole star, then it rotates the same speed as earth, counteracting the rotation so the sky stays in the same location relative to your camera.
- Stacking, even with tracking I typically dont get longer than 1-3min exposures. So instead take multiple and stack the images in software. This image is 14x 100s exposures.
But, even without any of those, I've taken images of the Orion Nebulae with just a tripod. It will be a lot blurrier and noisier and generally worse, but its pretty cool to see it show up anyway.