Purpose To document a world-class race walking athlete's preparation for the 2019 International Association of Athletics Federations (IAAF) World Championships (Doha, Qatar), including periodized training, physiological data, cooling strategies and nutritional practices. Methods Physiological data (VO2max, mL·kg−1·min−1; submaximal economy, mL·kg−1·min−1; and %VO2max), training volume (km) and intensity (min·km−1) were recorded (January–May 2019). Additional training strategies and interventions (altitude training, heat acclimation/acclimatization, cooling methods and pre- and during-race nutrition) were described (February–October 2019). Performances in IAAF-sanctioned 20 km races were also reported. Results The athlete's highest VO2max result was 74.6 mL·kg−1·min−1, and his highest 4 mmol·L−1 walking speed was 15.7 km·h−1. The best submaximal economy measures (the lowest proportional oxygen use at 13 km·h−1) were 48.4 mL·kg−1·min−1 (65.2% VO2max). The best performance outcome was a bronze medal-winning performance at the 2019 IAAF World Championships (32°C; 77% RH). Six blocks of altitude training were performed (119 days). Five blocks of heat acclimatization training (127 days), one block of heat acclimation training (8 days) and two blocks of post-training passive heat sessions (16 days) were completed. Internal and external cooling strategies were used, and the athlete's nutritional intake focused on carbohydrate and fluid intake prior to and during races, pre-race supplementation with sodium bicarbonate using chronic and acute protocols, caffeine supplementation during races and pre-race hyperhydration. Conclusion The strategies used by this elite athlete included repeated heat acclimation, heat acclimatization, passive heat exposure, hypoxic training and heat mitigation strategies. Similar strategies may provide benefit to elite athletes preparing for major international competitions in hot conditions.