A combination oil ring includes a pair of upper and lower side rails and a spacer expander arranged therebetween, the spacer expander including a plurality of upper pieces and lower pieces alternately arranged in a circumferential direction with the pieces axially and circumferentially apart from each other, a coupling piece coupling pieces adjacent to each other, and flange portions formed standing at inner circumferential-side end portions of the upper pieces and the lower pieces so as to press the side rails, and a through hole being formed in the flange portions, wherein side rail support portions that project axially are formed at portions in the circumferential direction of outer circumferential-side end portions of the upper pieces and the lower pieces.