On 24 October 2018, Embiid had 30 points and 19 rebounds in a 123–108 loss to the Milwaukee Bucks, becoming the franchise's first player to reach those marks in the same game since Charles Barkley did so in November 1991. On 27 October, he had 27 points and 14 rebounds in a 105–103 win over the Charlotte Hornets, thus registering a double-double in all six games to start the season. He became one of seven players with 2,000 points, 1,000 rebounds and 200 blocks in his first 100 games, joining Tim Duncan, Shaquille O'Neal, Alonzo Mourning, David Robinson, Hakeem Olajuwon and Ralph Sampson. On 1 November, he had 41 points and 13 rebounds in a 122–113 win over the Los Angeles Clippers. Two days later, he recorded 39 points and 17 rebounds in a 109–99 win over the Detroit Pistons. Thirty-two of his 39 points came in the first half, the highest for a Sixer since Allen Iverson had 33 points in the first half on 18 December 2004 against the Milwaukee Bucks. On 9 November, he recorded 42 points and 18 rebounds in a 133–132 overtime win over the Hornets. On 14 November, he recorded his first career triple-double with 19 points, 13 rebounds and 10 assists in a 111–106 loss to the Orlando Magic. On 14 December, he recorded 40 points and 21 rebounds in a 113–101 loss to the Indiana Pacers, becoming the first Sixers player with at least 30 points and 20 rebounds in a game since Barkley on 7 December 1990. On 2 January, he matched his season high with 42 points, including 30 in the first half, and grabbed 18 rebounds in a 132–127 win over the Phoenix Suns. On 10 March, he returned from an eight-game absence with a sore left knee and recorded 33 points and 12 rebounds in a 106–89 win over the Pacers. On 17 March, he had 40 points and 15 rebounds in a 130–125 win over the Bucks. On 20 March, Embiid scored 37 points and had a career-high 22 rebounds in a 118–115 win over the Boston Celtics. On 28 March, he had 39 points, 13 rebounds and six assists in a 123–110 win over the Brooklyn Nets. On 4 April, he returned from a three-game absence and had 34 points, 13 rebounds, 13 assists and three blocks in a 128–122 loss to the Bucks. He joined Wilt Chamberlain as the only other big man in team history with multiple triple-doubles in the same season. Embiid finished the season missing 14 games after the All-Star break, including five of the final seven games, due to rest and injury. In Game 4 of the 76ers' first-round playoff series against the Nets, Embiid had 31 points, 16 rebounds, 7 assists, and 6 blocks in a 112–108 win. Embiid battled through illness and flu-like symptoms during the second round of the playoffs, which the Sixers lost in seven games to the Toronto Raptors.
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