This study aimed to: (1) compare the efficiency of positional attacks and counterattacks in La Liga, the Premier League, and Serie A, considering team rankings (top, intermediate, and bottom tiers); and (2) identify key factors that influenced the success of both types of attack. A quantitative, observational study adhering to STROBE guidelines was conducted. Data from five seasons (2017–2022) were collected from INSTAT, covering 5,700 matches across the three selected leagues. The analysis included 84 teams. Of the 115 team variables available, 35 independent and two dependent variables—efficiency in positional attacks and counterattacks—were selected. These variables included team performance metrics and tactical indicators. Counterattacks were more efficient than positional attacks across the three leagues, and top teams performed better than intermediate and bottom teams. Serie A showed the highest efficiency. In La Liga and the Premier League, positional attack efficiency was linked to right flank attacks, while counterattacks relied on central-zone efficiency. Serie A showed similar patterns, with the right flank contributing most to positional attack efficiency and central-zone efficiency being the strongest predictor of counterattack efficiency. The superiority of counterattacks over positional attacks underscores the importance of tactical precision and situational execution. Top teams excelled in both strategies, emphasizing the need for efficiency. The findings highlight the significance of adapting strategies to each league’s unique trends. Coaches can leverage these insights to refine their approach, focusing on fast transitions, possession play, and wing play to enhance attacking efficiency and overall team performance.