Techniques are disclosed for forming increasing channel region tensile strain in n-MOS devices. In some cases, increased channel region tensile strain can be achieved via S/D material engineering that deliberately introduces dislocations in one or both of the S/D regions to produce tensile strain in the adjacent channel region. In some such cases, the S/D material engineering to create desired dislocations may include using a lattice mismatched epitaxial S/D film adjacent to the channel region. Numerous material schemes for achieving multiple dislocations in one or both S/D regions will be apparent in light of this disclosure. In some cases, a cap layer can be formed on an S/D region to reduce contact resistance, such that the cap layer is an intervening layer between the S/D region and S/D contact. The cap layer includes different material than the underlying S/D region and/or a higher dopant concentration to reduce contact resistance.