The authors offer an overview of Milner’s work as a psychoanalyst, writer, and gifted painter. They bring to light how each of her clinical concepts and theorisations have been shaped by predecessors and, in turn, have inspired subsequent analysts. The importance of imaginative scenarios for both patient and therapist within the analytic context is particularly emphasised. The authors conclude by focusing on the retained clinical relevance of Milner’s contribution for contemporary psychoanalysis. is essential for students of psychoanalysis, as well as academics and psychoanalytic practitioners interested in the clinical-theoretical work of this pioneer in psychoanalysis.