A fairly even game at Bloomfields goes the way of the clinical visitors after a hattrick from Leroy Lita.
Ilkeston though had the first chance after 6 minutes, Remaye Campbell flicked a header onto Leroy Lita who ran through one on one down the right hand side of the box only to see his low shot across goal palmed away by Marcus Garnham, while the striker's rebound effort was similarly palmed behind the 'keeper's left-hand post for a corner.
Needham however took the lead on 20 minutes, Crane threaded Jake Dye through with a peach of a crossfield through-ball, the fullback squared it across to Luke Brown who wrapped a clever shot from the left-hand of the box side into the bottom far corner for his maiden Needham goal, 1-0 Needham.
While Hallam saw his low shot across goal from 18 yards out on the right-hand side kicked away by Keiran Morphew on 23 minutes, the away side equalised a minute later as ex-professional Leroy Lita poked the ball past the onrushing Garnham and into the net from close range, 1-1.
A superb stop from Garnham then twarted the visitors from going in front on 32 minutes, the shot-stopper narrowed the angle down well to tip Hallam's low shot, following a good ball over the top, wide of his bottom right-hand near corner.
While the game remained a tightly contested affair, Ilkeston arguably had the better of the chances - capitalising, more so second half, when the chances arrived, albeit Hallam's shot from in acres of space after 36 minutes was tame and straight at Garnham on 36 minutes.
After the restart, it was an entertaining end to end contest, until after the second Ilkeston goal, after which Needham enjoyed most of the possession.
Ilkeston though had the first chance of the second half, Remaye Campbell towered highest only to head a left wing corner over the crossbar after 49 minutes.
Five minutes later, Lita turned the game on its head in favour of the visitors, O'Malley was first onto a loose ball in acres of space on the edge of the box whose deflected strike cannoned back into play off the inside base of the right-hand post into the path of Lita arriving to tap home into the bottom far, right-hand, corner from close range, 1-2 Ilkeston.
A big save from Ilkeston goalkeeper Huddlestone meanwhile thwarted Needham on 70 minutes, Christian Frimpong read a great header across from a dangerous Dylan Williams' free-kick, only to see his effort from point blank range smothered by the 'keeper.
Williams' brilliant right wing corner 18 minutes later almost provided the equaliser Needham craved, the hosts' man of the match's set-piece fell to Seth Chambers in space from close range whose near post shot on the turn was agonisingly smashed just wide of the top near corner.
Great play again from the Marketmen proved in vain a minute later, Dye's great long ball was controlled well by substitute Chambers who threaded goalscorer Brown through one on one with the 'keeper, down the left-hand side of the box, though the forward thumped wide into the top near side netting from a tight angle.
Lita however sealed the three points for the visitors in the 2nd minute of stoppage time. Poor defending saw the ball fall to the forward unmarked down the right-hand side of the box who finished smartly into the bottom far corner.
Needham will look to bounce back on Tuesday when their Suffolk Premier Cup defence begins at home to Isthmian League North Division side Felixstowe + Walton United at Bloomfields.