[5] In August 2019, Almeida, then riding for Hagens Berman Axeon, signed a 2-year contract with World Tour team Deceuninck–Quick-Step.

After a series of top-10 finishes in winter and early-spring stage races, Almeida's contract with Deceuninck–Quick-Step was set to expire by the end of the year.

After supporting Remco Evenepoel in the first 2 weeks, Almeida ended up finishing in the top-10 in the last 6 stages, placing 6th overall in the general classification.

Almeida was in 4th place in the general classification at the Giro d'Italia when he was forced to abandon the race after stage 17 due to a positive test for COVID-19.

[11] In June, Almeida won the Portuguese National Road Race Championships, and placed 3rd in the Time Trial.