Miller was named on 28 of 30 ballots, including 23 first-place selections, and collected 126 points. Phoenix Coyotes goaltender Ilya Bryzgalov finished a strong second, receiving votes on 27 of 30 ballots and totaling 79 points.

Miller led the Sabres to the Northeast Division title for the second time in the past four seasons. He set a franchise record and ranked fourth among NHL goaltenders with 41 wins; placed second in the League in goals-against average (2.22) and save percentage (.929); and tied a career high with five shutouts. Miller continued to excel following his MVP performance for Team USA at the 2010 Olympic Winter Games, going 9-2-1 in his first 12 decisions after collecting the silver medal in Vancouver.

2009-10 VEZINA TROPHY VOTING
RANK	PLAYER	TEAM	POINTS	1st-2nd-3rd
1.	Ryan MIller	BUF	126	23-3-2
2.	Illy Bryzgalov	PHX	79	5-16-6
3.	Martin Brodeur	NJ	32	1-6-9
4.	Evgeni Nabokov	SJ	9	1-1-1
5.	Craig Anderson	COL	9	0-2-3
6.	Henrik Lundqvist	NYR	6	0-1-3
7.	Tuukka Rask	BOS	3	0-1-0
8.	Jimmy Howard	DET	2	0-0-2
	Mikka Kiprusoff	CAL	2	0-0-2
10.	Jaroslav Halak	MTL	1	0-0-1
	Roberto Luongo	VAN	1	0-0-1