This page lists the head-to-head record of Roma vs AC Milan including biggest victories and defeats between the two sides, and H2H stats in all competitions.
Overall H2H Record - Summary
| Total | AC Milan | Roma | Draws |
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| Total Matches | 69 | 25 | 22 | 22 |
| At San Siro | 34 | 9 | 14 | 11 |
| At Stadio Olimpico | 35 | 16 | 8 | 11 |
| UEFA Europa League Matches | 2 | 0 | 2 | 0 |
| Cup Matches | 3 | 1 | 1 | 1 |
| Serie A Matches | 64 | 24 | 19 | 21 |
| Total Goals Scored | 180 | 89 | 91 | |
Last 50 AC Milan vs Roma Matches
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| 2025 18 May | | Serie A | Roma | 3 - 1 | Milan |
| 2025 5 February | | Cup | Milan | 3 - 1 | Roma |
| 2024 29 December | | Serie A | Milan | 1 - 1 | Roma |
| 2024 18 April | | UEFA Europa League | Roma | 2 - 1 | Milan |
| 2024 11 April | | UEFA Europa League | Milan | 0 - 1 | Roma |
| 2024 14 January | | Serie A | Milan | 3 - 1 | Roma |
| 2023 1 September | | Serie A | Roma | 1 - 2 | Milan |
| 2023 29 April | | Serie A | Roma | 1 - 1 | Milan |
| 2023 8 January | | Serie A | Milan | 2 - 2 | Roma |
| 2022 6 January | | Serie A | Milan | 3 - 1 | Roma |
| 2021 31 October | | Serie A | Roma | 1 - 2 | Milan |
| 2021 28 February | | Serie A | Roma | 1 - 2 | Milan |
| 2020 26 October | | Serie A | Milan | 3 - 3 | Roma |
| 2020 28 June | | Serie A | Milan | 2 - 0 | Roma |
| 2019 27 October | | Serie A | Roma | 2 - 1 | Milan |
| 2019 3 February | | Serie A | Roma | 1 - 1 | Milan |
| 2018 31 August | | Serie A | Milan | 2 - 1 | Roma |
| 2018 25 February | | Serie A | Roma | 0 - 2 | Milan |
| 2017 1 October | | Serie A | Milan | 0 - 2 | Roma |
| 2017 7 May | | Serie A | Milan | 1 - 4 | Roma |
| 2016 12 December | | Serie A | Roma | 1 - 0 | Milan |
| 2016 14 May | | Serie A | Milan | 1 - 3 | Roma |
| 2016 9 January | | Serie A | Roma | 1 - 1 | Milan |
| 2015 9 May | | Serie A | Milan | 2 - 1 | Roma |
| 2014 20 December | | Serie A | Roma | 0 - 0 | Milan |
| 2014 25 April | | Serie A | Roma | 2 - 0 | Milan |
| 2013 16 December | | Serie A | Milan | 2 - 2 | Roma |
| 2013 12 May | | Serie A | Milan | 0 - 0 | Roma |
| 2012 22 December | | Serie A | Roma | 4 - 2 | Milan |
| 2012 24 March | | Serie A | Milan | 2 - 1 | Roma |
| 2011 29 October | | Serie A | Roma | 2 - 3 | Milan |
| 2011 7 May | | Serie A | Roma | 0 - 0 | Milan |
| 2010 18 December | | Serie A | Milan | 0 - 1 | Roma |
| 2010 6 March | | Serie A | Roma | 0 - 0 | Milan |
| 2009 18 October | | Serie A | Milan | 2 - 1 | Roma |
| 2009 24 May | | Serie A | Milan | 2 - 3 | Roma |
| 2009 11 January | | Serie A | Roma | 2 - 2 | Milan |
| 2008 15 March | | Serie A | Roma | 2 - 1 | Milan |
| 2007 28 October | | Serie A | Milan | 0 - 1 | Roma |
| 2007 31 March | | Serie A | Roma | 1 - 1 | Milan |
| 2007 31 January | | Cup | Roma | 3 - 1 | Milan |
| 2007 25 January | | Cup | Milan | 2 - 2 | Roma |
| 2006 11 November | | Serie A | Milan | 1 - 2 | Roma |
| 2006 13 May | | Serie A | Milan | 2 - 1 | Roma |
| 2006 14 January | | Serie A | Roma | 1 - 0 | Milan |
| 2005 19 March | | Serie A | Roma | 0 - 2 | Milan |
| 2004 6 November | | Serie A | Milan | 1 - 1 | Roma |
| 2004 1 May | | Serie A | Milan | 1 - 0 | Roma |
| 2004 5 January | | Serie A | Roma | 1 - 2 | Milan |
| 2003 25 April | | Serie A | Roma | 2 - 1 | Milan |
Biggest AC Milan Victory vs Roma
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| 2024 14 January | | Serie A | Milan | 3 - 1 | Roma |
Biggest Roma Victory vs AC Milan
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| 1998 2 May | | Serie A | Roma | 5 - 0 | Milan |
Biggest AC Milan Defeat vs Roma
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| 1998 2 May | | Serie A | Roma | 5 - 0 | Milan |
Biggest Roma Defeat vs AC Milan
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| 2024 14 January | | Serie A | Milan | 3 - 1 | Roma |
Last 5 AC Milan Home Matches
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| 2025 24 May | | Serie A | Milan | 2 - 0 | Monza |
| 2025 14 May | | Cup | Milan | 0 - 1 | Bologna |
| 2025 9 May | | Serie A | Milan | 3 - 1 | Bologna |
| 2025 20 April | | Serie A | Milan | 0 - 1 | Atalanta |
| 2025 5 April | | Serie A | Milan | 2 - 2 | Fiorentina |
Last 5 Roma Home Matches
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| 2025 18 May | | Serie A | Roma | 3 - 1 | Milan |
| 2025 4 May | | Serie A | Roma | 1 - 0 | Fiorentina |
| 2025 19 April | | Serie A | Roma | 1 - 0 | Hellas Verona |
| 2025 6 April | | Serie A | Roma | 1 - 1 | Juventus |
| 2025 16 March | | Serie A | Roma | 1 - 0 | Cagliari |
Last 5 AC Milan Away Matches
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| 2025 18 May | | Serie A | Roma | 3 - 1 | Milan |
| 2025 5 May | | Serie A | Genoa | 1 - 2 | Milan |
| 2025 27 April | | Serie A | Venezia | 0 - 2 | Milan |
| 2025 23 April | | Cup | Internazionale | 0 - 3 | Milan |
| 2025 11 April | | Serie A | Udinese | 0 - 4 | Milan |
Last 5 Roma Away Matches
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| 2025 25 May | | Serie A | Torino | 0 - 2 | Roma |
| 2025 12 May | | Serie A | Atalanta | 2 - 1 | Roma |
| 2025 27 April | | Serie A | Internazionale | 0 - 1 | Roma |
| 2025 13 April | | Serie A | Lazio | 1 - 1 | Roma |
| 2025 29 March | | Serie A | Lecce | 0 - 1 | Roma |