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Miletich began providing color commentary for Strikeforce on April 11, 2009, for its debut on Showtime and did so regularly until that promotion's demise in 2012.

Miletich continued fighting at smaller events and enjoyed success. He was undefeated through 15 fights before losing to Matt Hume. Three fights later Miletich fought in UFC 16 and won the first UFC Welterweight tournament. At UFC 17.5: Ultimate Brazil, Miletich defeated Mikey Burnett to become the first UFC Welterweight Champion. In his fifth title defense at UFC 31 he lost to Carlos Newton by submission. This was his first UFC defeat. His next fight was a KO win over Shonie Carter at UFC 32. After this fight, Miletich moved up to the Middleweight division. This was partly due to encouragement by UFC management and because his teammate, Matt Hughes, defeated Carlos Newton to win the UFC Welterweight Championship. Miletich returned to fight at his new weight at UFC 36, but quickly lost to Matt Lindland. Miletich decided to take some time away from professional fighting and recover from numerous chronic injuries. Miletich was scheduled to fight Frank Trigg at WFA 3 but pulled out due to injury. He returned in September 2006 to fight Renzo Gracie in an IFL superfight, and submitted to a guillotine choke in the first round. Miletich spoke briefly after the fight about re-aggravating his old neck injury before the Gracie fight. Miletich's last fight was in December 2008 where he scored a second-round KO over Thomas Denny that was televised on the HDNet network.

Miletich started his MMA training at 26. Before this, Miletich trained at Tarpein's Dojo with Grand Master Nick Tarpein, where he learned much of what he knows about karate, and was introduced to Brazilian Jiu-Jitsu (BJJ) for the very first time. With Miletich's wrestling background, Jiu-Jitsu came naturally to him. When Miletich coupled BJJ with his strong foundation in boxing/karate, he realized where his fighting career should go; MMA. After learning the foundations of BJJ in Tarpein's Dojo, Miletich decided to branch out and learn BJJ full-time. A friend from Chicago got him into a Renzo Gracie seminar. After training in Brazilian jiu-jitsu (BJJ) for a year, the same friend then got him into the Battle of the Masters, an MMA tournament held in Chicago in 1995.

Miletich, the youngest of five children, was born in Davenport, Iowa, to Croatian immigrant parents. Two of his brothers are deceased. Miletich wrestled and played football at Bettendorf High School. As a senior in 1983-84, Miletich shared the Bettendorf High School wrestling room with future MMA champion Mark Kerr, who was a freshman just beginning his wrestling career. Miletich is believed to have begun wrestling at age six. He said he wanted to be a world champion in something and wrestling was something he was good at. Although Miletich originally planned to pursue football after graduating high school, he eventually chose to wrestle in junior college. When his mother developed heart problems, he left school to care for her. Miletich has stated in past interviews that he actually began fighting to help pay her bills.

Patrick Jay Miletich (/ˈ m ɪ l ə t ɪ tʃ / ; born March 9, 1968) is a retired Croatian American mixed martial artist and a current sports commentator. He is known for his fights in the Ultimate Fighting Championship, where he became the first UFC Welterweight Champion and UFC 16 Welterweight Tournament Winner. Miletich is also known as a highly successful trainer and coach, having founded Miletich Fighting Systems. This camp is considered one of the most successful in MMA history and has produced several world champions. On July 6, 2014, he was inducted into the UFC Hall of Fame. Since 2016 he has hosted his own podcast labeled The Conspiracy Farm with Jeffrey Wilson.