By means of a Monte Carlo study, this paper investigates the relative performance of Listwise Deletion, the EM-algorithm and the default algorithm in the MICE-package for R (PMM) in estimating regression coefficients under a left truncated covariate with missing values. The intention is to investigate whether the three frequently used missing data techniques are robust against left truncation when missing values are MCAR or MAR. The results suggest that no technique is superior overall in all combinations of factors studied. The EM-algorithm is unaffected by left truncation under MCAR but negatively affected by strong left truncation under MAR. Compared to the default MICE-algorithm, the performance of EM is more stable across distributions and combinations of sample size and missing rate. The default MICE-algorithm is improved by left truncation but is sensitive to missingness pattern and missing rate. Compared to Listwise Deletion, the EM-algorithm is less robust against left truncation when missing values are MAR. However, the decline in performance of the EM-algorithm is not large enough for the algorithm to be completely outperformed by Listwise Deletion, especially not when the missing rate is moderate. Listwise Deletion might be robust against left truncation but is inefficient.