Instances of the alien class represent pointers to C data outside the Factor heap:

<alien> ( address -- alien )

<displaced-alien> ( displacement c-ptr -- alien )

alien-address ( c-ptr -- addr )

Anywhere that an alien instance is accepted, the f singleton may be passed in to denote a null pointer.

Usually alien objects do not have to be created and dereferenced directly; instead declaring C function parameters and return values as having a pointer type such as void* takes care of the details.
Alien object literal syntax
Alien expiry

When higher-level abstractions won't do:
Reading and writing memory directly

See also
Passing data between Factor and C, C type specifiers