Flat-band moiré graphene systems are a quintessential platform for investigating correlated phases of matter. Various interaction-driven ground states have been proposed, but despite extensive experimental effort, there has been little direct evidence that distinguishes between various phases, in particular near the charge neutrality point. Here we probe the fine details of the density of states and the effects of Coulomb interactions in alternating-twist trilayer graphene by imaging the local thermodynamic quantum oscillations with a nanoscale scanning superconducting quantum interference device. We find that the charging self-energy due to occupied electronic states is most important in explaining the high-carrier-density physics. At half-filling of the conduction flat band, we observe ferromagnetic-driven symmetry breaking, suggesting that it is the most robust mechanism in the hierarchy of phase transitions. Near charge neutrality, where exchange energy dominates over charging self-energy, we find a nematic semimetal ground state, which is theoretically favoured over gapped states in the presence of heterostrain. In this semimetallic phase, the flat-band Dirac cones migrate towards the mini-Brillouin zone centre, spontaneously breaking the threefold rotational symmetry. Our low-field local quantum oscillation technique can be used to explore the ground states of many strongly interacting van der Waals systems.