The present invention relates to a making method for a seamless metallic tube with a tilting roll type piercing rolling mill (piercer). According to the making method for a seamless metallic tube of the present invention, the rotary forging effect and the circumferential shearing strain can be significantly suppressed without generating uncompleted engagement of a billet. Accordingly, a product having reduced inside defects and excellent inside quality can be produced in high productivity. Further, by strengthening a plug nose rolling portion, a sharpened plug nose is obtained and an engagement limit can be increased. Additionally, a product further excellent in the inside quality can be efficiently produced. Accordingly, the present invention can be applied to wide fields of the piercing rolling of the seamless metallic tube.