Experimentally relevant signatures of superconductivity require access to real-frequency quantities, such as the spectral functions, optical response, and transport properties, yet Migdal–Eliashberg calculations are commonly performed on the imaginary axis and then analytically continued, a step that is numerically delicate and can obscure physically relevant spectral features. Here we present a practical route to solving the finite-temperature Migdal–Eliashberg equations directly on the real-frequency axis, while retaining the effects from the full-bandwidth electronic structure. Our formulation accounts for particle–hole asymmetry through an energy-dependent electronic density of states, avoiding the constant density of states approximation often used in real-axis calculations, and includes a static screened Coulomb contribution. We introduce an efficient numerical technique to solve the Migdal-Eliashberg integrals whose computational cost scales linearly with the real-frequency grid, making high-resolution, full-bandwidth real-axis calculations feasible and providing direct access to the interacting Green’s function and derived observables without analytic continuation. As an illustration, we apply the method to H3S, where a van-Hove singularity near the Fermi level produces strong particle–hole asymmetry. The full-bandwidth solution yields noticeably different spectra than the constant density of states approximation and brings the superconducting gap and lineshapes into closer agreement with experiment, highlighting when band-structure details are essential. Furthermore, the methods presented here open the door to time-dependent, nonequilibrium simulations within Eliashberg theory.