This page lists the head-to-head record of FC Twente vs AZ Alkmaar including biggest victories and defeats between the two sides, and H2H stats in all competitions.
Overall H2H Record - Summary
| Total | AZ Alkmaar | FC Twente | Draws |
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| Total Matches | 58 | 24 | 23 | 11 |
| At AFAS Stadion | 29 | 8 | 17 | 4 |
| At De Grolsch Veste | 29 | 16 | 6 | 7 |
| Cup Matches | 3 | 2 | 1 | 0 |
| Eredivisie Matches | 55 | 22 | 22 | 11 |
| Total Goals Scored | 165 | 88 | 77 | |
Last 50 AZ Alkmaar vs FC Twente Matches
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| 2024 21 December | | Eredivisie | AZ | 1 - 0 | Twente |
| 2024 5 May | | Eredivisie | AZ | 2 - 1 | Twente |
| 2024 13 January | | Eredivisie | Twente | 2 - 1 | AZ |
| 2023 19 March | | Eredivisie | Twente | 2 - 1 | AZ |
| 2022 11 September | | Eredivisie | AZ | 1 - 1 | Twente |
| 2022 13 March | | Eredivisie | AZ | 0 - 1 | Twente |
| 2022 19 January | | Cup | Twente | 1 - 2 | AZ |
| 2021 23 September | | Eredivisie | Twente | 3 - 1 | AZ |
| 2021 13 March | | Eredivisie | AZ | 4 - 1 | Twente |
| 2020 13 December | | Eredivisie | Twente | 1 - 3 | AZ |
| 2020 15 February | | Eredivisie | Twente | 2 - 0 | AZ |
| 2019 2 November | | Eredivisie | AZ | 3 - 0 | Twente |
| 2018 28 February | | Cup | AZ | 4 - 0 | Twente |
| 2018 7 February | | Eredivisie | Twente | 0 - 4 | AZ |
| 2017 24 November | | Eredivisie | AZ | 2 - 0 | Twente |
| 2017 22 April | | Eredivisie | AZ | 2 - 1 | Twente |
| 2016 17 December | | Eredivisie | Twente | 1 - 2 | AZ |
| 2016 20 March | | Eredivisie | Twente | 2 - 2 | AZ |
| 2015 4 October | | Eredivisie | AZ | 3 - 1 | Twente |
| 2015 26 April | | Eredivisie | Twente | 0 - 2 | AZ |
| 2015 27 January | | Cup | Twente | 3 - 0 | AZ |
| 2014 5 October | | Eredivisie | AZ | 2 - 2 | Twente |
| 2014 16 March | | Eredivisie | Twente | 2 - 1 | AZ |
| 2013 7 December | | Eredivisie | AZ | 1 - 2 | Twente |
| 2012 21 December | | Eredivisie | AZ | 0 - 3 | Twente |
| 2012 7 October | | Eredivisie | Twente | 3 - 0 | AZ |
| 2012 11 April | | Eredivisie | AZ | 2 - 2 | Twente |
| 2011 13 August | | Eredivisie | Twente | 2 - 0 | AZ |
| 2011 27 February | | Eredivisie | AZ | 2 - 1 | Twente |
| 2010 20 November | | Eredivisie | Twente | 1 - 2 | AZ |
| 2010 13 April | | Eredivisie | AZ | 1 - 0 | Twente |
| 2009 17 October | | Eredivisie | Twente | 3 - 2 | AZ |
| 2009 3 May | | Eredivisie | Twente | 3 - 0 | AZ |
| 2008 9 November | | Eredivisie | AZ | 3 - 0 | Twente |
| 2008 23 February | | Eredivisie | AZ | 0 - 0 | Twente |
| 2007 2 December | | Eredivisie | Twente | 2 - 1 | AZ |
| 2007 13 May | | Eredivisie | AZ | 2 - 0 | Twente |
| 2007 9 May | | Eredivisie | Twente | 1 - 1 | AZ |
| 2006 27 December | | Eredivisie | Twente | 3 - 0 | AZ |
| 2006 16 September | | Eredivisie | AZ | 2 - 2 | Twente |
| 2006 11 April | | Eredivisie | AZ | 0 - 0 | Twente |
| 2005 9 December | | Eredivisie | Twente | 1 - 3 | AZ |
| 2005 14 May | | Eredivisie | Twente | 3 - 0 | AZ |
| 2004 10 December | | Eredivisie | AZ | 5 - 0 | Twente |
| 2004 27 February | | Eredivisie | Twente | 4 - 1 | AZ |
| 2003 21 August | | Eredivisie | AZ | 3 - 0 | Twente |
| 2003 28 February | | Eredivisie | Twente | 0 - 0 | AZ |
| 2002 25 October | | Eredivisie | AZ | 1 - 2 | Twente |
| 2002 29 March | | Eredivisie | AZ | 0 - 2 | Twente |
| 2001 14 December | | Eredivisie | Twente | 0 - 0 | AZ |
Biggest AZ Alkmaar Victory vs FC Twente
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| 2000 26 October | | Eredivisie | AZ | 5 - 0 | Twente |
Biggest FC Twente Victory vs AZ Alkmaar
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| 2004 27 February | | Eredivisie | Twente | 4 - 1 | AZ |
Biggest AZ Alkmaar Defeat vs FC Twente
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| 2004 27 February | | Eredivisie | Twente | 4 - 1 | AZ |
Biggest FC Twente Defeat vs AZ Alkmaar
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| 2000 26 October | | Eredivisie | AZ | 5 - 0 | Twente |
Last 5 AZ Alkmaar Home Matches
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| 2024 21 December | | Eredivisie | AZ | 1 - 0 | Twente |
| 2024 18 December | | Cup | AZ | 3 - 1 | Groningen |
| 2024 8 December | | Eredivisie | AZ | 2 - 1 | Ajax |
| 2024 1 December | | Eredivisie | AZ | 1 - 0 | Heracles |
| 2024 28 November | | UEFA Europa League | AZ | 1 - 1 | Galatasaray |
Last 5 FC Twente Home Matches
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| 2024 15 December | | Eredivisie | Twente | 2 - 0 | Groningen |
| 2024 1 December | | Eredivisie | Twente | 3 - 2 | Go Ahead Eagles |
| 2024 28 November | | UEFA Europa League | Twente | 0 - 1 | Union Saint-Gilloise |
| 2024 10 November | | Eredivisie | Twente | 2 - 2 | Ajax |
| 2024 27 October | | Eredivisie | Twente | 5 - 0 | Heracles |
Last 5 AZ Alkmaar Away Matches
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| 2024 15 December | | Eredivisie | NAC Breda | 1 - 2 | AZ |
| 2024 12 December | | UEFA Europa League | Ludogorets | 2 - 2 | AZ |
| 2024 24 November | | Eredivisie | Sparta Rotterdam | 1 - 2 | AZ |
| 2024 2 November | | Eredivisie | Feyenoord | 3 - 2 | AZ |
| 2024 24 October | | UEFA Europa League | Tottenham Hotspur | 1 - 0 | AZ |
Last 5 FC Twente Away Matches
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| 2024 21 December | | Eredivisie | AZ | 1 - 0 | Twente |
| 2024 18 December | | Cup | Katwijk | 2 - 3 | Twente |
| 2024 12 December | | UEFA Europa League | Olympiakos Piraeus | 0 - 0 | Twente |
| 2024 6 December | | Eredivisie | PSV | 6 - 1 | Twente |
| 2024 23 November | | Eredivisie | Fortuna Sittard | 1 - 2 | Twente |