Mizell won his first start of 1953, coming within an out of throwing a complete game on April 22 against Cincinnati in an 8–3 victory. On April 28, he held the Phillies to run one for five innings in a tie, as rain forced the game to be called and it was never resumed. His most notable game of the season came on May 4, when he gave up just two hits in a shutout of the Pirates. Mizell had a 2.83 ERA before the All-Star Break, but he had a 4.14 ERA in the second half of the season. On August 7, he held the New York Giants to one run in a complete game, 2–1 triumph. Exactly one week later, he held Cincinnati to one run over nine innings, but the Cardinals only scored one for him. After throwing a scoreless 10th, Mizell took the loss in the 11th when Roy McMillan had an RBI single against him. His 11 strikeouts in that contest were a season-high, and he also had five games in which he had nine, including each of his last two starts. In 33 starts, he had a 13–11 record. For the second year in a row, he led the NL in strikeouts per 9 innings pitched (6.9), and he finished third in the league with 173 strikeouts this time, behind Roberts's 198 and Carl Erskine's 187. His 3.49 ERA was the ninth-best mark in the league, but his 114 walks trailed only Johnny Lindell's 139 for the league lead.