He made the U.S. team for the 2010 Winter Olympics in late 2009 and was selected to compete in all five events, despite his lack of training. In his first race, after several delays due to warm weather and poor snow conditions, Miller won a bronze medal in the downhill, the first American to win an Olympic medal in downhill since Tommy Moe won gold in 1994. Miller's time was 1:54.40, nine hundredths of a second behind gold medalist Didier Défago, and two hundredths behind Aksel Lund Svindal, who took the silver; the time difference between the gold and bronze medals was the smallest in Olympic downhill history. He then won a silver in the super-G, giving him four Olympic medals, more than any other American alpine racer. On February 21, 2010, he won his first Olympic gold medal in the super combined. After the downhill portion of the race, Miller was in seventh place, but finished third in the slalom portion, giving him a total time of 2:44.92 to finish first overall. Miller then failed to finish both the giant slalom and the slalom, and took the rest of the season off due to continuing problems with his ankle injury.