Larionov won two gold medals (1984, 1988) for the Soviet Union and one bronze medal for Russia (2002) at the Olympics. At the World Championships, Larionov won four golds (1982, 1983, 1986, 1989), one silver (1987), and one bronze (1985). He was an instrumental member of the Soviet squad that won the 1981 Canada Cup (this tournament was the coming out of the KLM Line) and played in the 1984 and 1987 events as well. He then played for Russia in the 1996 World Cup of Hockey.