How to win lane as Alistar against Milio · 50.48% win rate over 2,393 Emerald+ games · Updated 2026-07-27
| Stage | Favoured | Why |
|---|---|---|
| Level 1 | Milio | Milio out-trades you at L1 with empowered Q pokes and instant E self/ally healing. |
| Level 2 | Milio | Her L2 shield and heal negate your knockup trade, keeping her ahead. |
| Level 3 | Milio | At L3 her E sustain resets any damage you deal, so she holds the edge. |
| Levels 4-5 | Milio | Through L4-5 her constant peel and Q slow deny your engages, favouring her. |
| Level 6 | Milio | Her L6 Ultra Mush cleanse hard-counters your R dive, so she wins the spike. |
| First item | Milio | First-item shielding scales her utility faster than your tankiness, keeping her ahead. |
| Two+ items | Milio | With 2+ items her heals, shields and cleanse outvalue your single pick, so she stays favoured. |
Milio can poke you with Ultra Mush (Q) auto-empowers and heal any return damage with E, so you rarely win a straight L1-2 trade; use your bulk to soak and look for a clean W-Q flash rather than a poke war.
The full Alistar vs Milio report continues with the mid-game plan, the late-game and teamfight plan, every power spike to play around, and the win conditions for both sides — plus cooldown tracking and the live enemy-jungle tracker inside the app.
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Playing the other side? Milio vs Alistar guide →
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