The invention discloses a horizontal reverse alloy steel extrusion machine, which belongs to the novel technical field of seamless steel pipe and relates to a seamless steel pipe manufacturing facility. The purpose is to settle the problems of complex process, inefficiency, high energy consumption and pollution of the environment with the prior domestic cold drawing techniques of small-bore seamless alloy steel tube. The machine consists of a rigid framework, a liquid-filled combined hydraulic cylinder and a die assembly, wherein, the rigid framework consists of an anterior fixed beam, a posterior fixed beam and an intermediate moving beam on the frame, which are connected in series by a four tensile columns; the liquid-filled combined hydraulic cylinder has a compact structure and is capable of executing the operations of die displacement, material feeding, perforation, extrusion and die removal; the die assembly consists of a perforation and extrusion and automatic switching system, a hot extrusion / molding system and a die removal and disengaging and residual extrusion and cutting system. The machine is capable of achieving once-and-for-all heating and once-and-for-all molding to directly produce finished products of small-bore seamless alloy steel pipes. Compared with forward extrusion, the deviations of the displacement of the piercing mandril and the dies are small, and no friction occurs between the billets and the internal wall of the container, thereby the machine can directly adopt continuous casting billets to extrude small-bore pipes, and has the advantages of simple process, high quality, high efficiency, low energy consumption, etc.