Mäkäräinen's form fell somewhat after that as she managed to reach the podium only once in the next 12 starts. Despite this Mäkäräinen scored valuable points in every single race beside the mass start in Antholz. She entered the Biathlon World Championships 2011 in Khanty-Mansiysk in second place for the Overall World Cup (9 points behind Andrea Henkel), but regained the overall World Cup leader's yellow bib after taking the silver medal in the sprint. Mäkäräinen's flawless shooting and fourth-fastest course time secured her career-first gold medal in the pursuit the following day. Mäkäräinen became the second Finnish female to medal in biathlon and the first one since 1987 when Tuija Vuoksiala placed third in the individual . She is also the first Finnish biathlete to medal at the Biathlon World Championships since 2003, since Paavo Puurunen's bronze in the pursuit.