He started playing basketball at age 14, and joined the Hørsholm 79ers of the Basketligaen, the top professional league in Denmark, three years later.
[5] As a senior, Midtgaard averaged 14.2 points, 9.7 rebounds and 1.3 blocks per game, and shot an NCAA Division I-best 70.7 percent from the field.
He became the first Grand Canyon player since the program entered the NCAA Division I to be invited to the Summer League.
[12] He attended only one BNXT contest for Antwerp and parted ways with the team on 4 October 2023 after having suffered a knee injury.
[13] Midtgaard represented Denmark at the 2015 FIBA Europe Under-18 Championship Division B in Austria, and averaged 7.3 points and 8.4 rebounds per game.