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In 1985, Miura applied for entrance to the art college of Nihon University. He submitted a short project, Futatabi (再び, "Once More"), for examination and was granted admission. The project later earned him the 34th Newcomer Manga Award from Weekly Shōnen Magazine. Miura's next work, NOA, was published in Fresh Magazine in the same year, but it was not successful. In 1988, while working for Buronson on a project titled King of Wolves (王狼, Ōrō), Miura published a prototype of Berserk in Hakusensha's Monthly ComiComi; the 48-page prototype placed second in ComiComi's 7th Manga School competition. The full serialization of Berserk, which would become Miura's most famous and successful work, began in Hakusensha's Monthly Animal House in 1989. In 1990, a sequel to King of Wolves, entitled Ōrō Den (王狼伝, "Legend of the King of Wolves"), was published in the same magazine. In 1992, Monthly Animal House was renamed Young Animal, where Berserk continued serialization. In the same year, Miura collaborated with Buronson on the manga Japan, which was also published in Young Animal.
In 1997, Miura supervised the production of a 25-episode anime adaptation of Berserk produced by OLM, Inc., which aired in the same year on NTV. He also supervised the 1999 Dreamcast video game Sword of the Berserk: Guts' Rage. In 2002, Miura received the Award for Excellence at the 6th Tezuka Osamu Cultural Prizes for Berserk. Starting in 2006, Berserk went on frequent and often extended hiatuses, and alternated between monthly and irregular serialization. As of 2018, Berserk was collected into 40 tankōbon volumes in Japan, and as of May 2021 it had more than 50 million copies in circulation worldwide, including digital versions. The series also spawned a host of merchandise, both official and fan-made, ranging from statues, action figures to key rings, video games, and a trading card game. Various art books and supplemental materials by Miura based on Berserk were also released.
In 2013, Miura released the short standalone manga Giganto Maxia, published in English-speaking territories by Dark Horse in 2016. Duranki, a short manga produced by Miura's personal manga studio Studio Gaga, was serialized in Young Animal Zero in 2019.