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Head-to-head record and recent meetings.
Last 11 meetings
| 24 Oct 26 | D3–3 | Serie A · Napoli home | details → |
| 15 Feb 26 | D2–2 | Serie A · Napoli home | details → |
| 30 Nov 25 | N1–0 | Serie A · Roma home | details → |
| 2 Feb 25 | D1–1 | Serie A · Roma home | details → |
| 24 Nov 24 | N1–0 | Serie A · Napoli home | details → |
| 28 Apr 24 | D2–2 | Serie A · Napoli home | details → |
| 23 Dec 23 | R0–2 | Serie A · Roma home | details → |
| 29 Jan 23 | N2–1 | Serie A · Napoli home | details → |
| 23 Oct 22 | N1–0 | Serie A · Roma home | details → |
| 18 Apr 22 | D1–1 | Serie A · Napoli home | details → |
| 24 Oct 21 | D0–0 | Serie A · Roma home | details → |
Scores shown from Napoli's perspective. From graded matches on record.