This page lists the head-to-head record of Roma vs Napoli including biggest victories and defeats between the two sides, and H2H stats in all competitions.
Overall H2H Record - Summary
| Total | Napoli | Roma | Draws |
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| Total Matches | 50 | 16 | 21 | 13 |
| At Stadio San Paolo | 25 | 7 | 13 | 5 |
| At Stadio Olimpico | 25 | 9 | 8 | 8 |
| Cup Matches | 4 | 1 | 3 | 0 |
| Serie A Matches | 46 | 15 | 18 | 13 |
| Total Goals Scored | 143 | 66 | 77 | |
Last 50 Napoli vs Roma Matches
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| 2024 28 April | | Serie A | Napoli | 2 - 2 | Roma |
| 2023 23 December | | Serie A | Roma | 2 - 0 | Napoli |
| 2023 29 January | | Serie A | Napoli | 2 - 1 | Roma |
| 2022 23 October | | Serie A | Roma | 0 - 1 | Napoli |
| 2022 18 April | | Serie A | Napoli | 1 - 1 | Roma |
| 2021 24 October | | Serie A | Roma | 0 - 0 | Napoli |
| 2021 21 March | | Serie A | Roma | 0 - 2 | Napoli |
| 2020 29 November | | Serie A | Napoli | 4 - 0 | Roma |
| 2020 5 July | | Serie A | Napoli | 2 - 1 | Roma |
| 2019 2 November | | Serie A | Roma | 2 - 1 | Napoli |
| 2019 31 March | | Serie A | Roma | 1 - 4 | Napoli |
| 2018 28 October | | Serie A | Napoli | 1 - 1 | Roma |
| 2018 3 March | | Serie A | Napoli | 2 - 4 | Roma |
| 2017 14 October | | Serie A | Roma | 0 - 1 | Napoli |
| 2017 4 March | | Serie A | Roma | 1 - 2 | Napoli |
| 2016 15 October | | Serie A | Napoli | 1 - 3 | Roma |
| 2016 25 April | | Serie A | Roma | 1 - 0 | Napoli |
| 2015 13 December | | Serie A | Napoli | 0 - 0 | Roma |
| 2015 4 April | | Serie A | Roma | 1 - 0 | Napoli |
| 2014 1 November | | Serie A | Napoli | 2 - 0 | Roma |
| 2014 9 March | | Serie A | Napoli | 1 - 0 | Roma |
| 2014 12 February | | Cup | Napoli | 3 - 0 | Roma |
| 2014 5 February | | Cup | Roma | 3 - 2 | Napoli |
| 2013 18 October | | Serie A | Roma | 2 - 0 | Napoli |
| 2013 19 May | | Serie A | Roma | 2 - 1 | Napoli |
| 2013 6 January | | Serie A | Napoli | 4 - 1 | Roma |
| 2012 28 April | | Serie A | Roma | 2 - 2 | Napoli |
| 2011 18 December | | Serie A | Napoli | 1 - 3 | Roma |
| 2011 12 February | | Serie A | Roma | 0 - 2 | Napoli |
| 2010 3 October | | Serie A | Napoli | 2 - 0 | Roma |
| 2010 28 February | | Serie A | Napoli | 2 - 2 | Roma |
| 2009 4 October | | Serie A | Roma | 2 - 1 | Napoli |
| 2009 25 January | | Serie A | Napoli | 0 - 3 | Roma |
| 2008 31 August | | Serie A | Roma | 1 - 1 | Napoli |
| 2008 9 March | | Serie A | Napoli | 0 - 2 | Roma |
| 2007 20 October | | Serie A | Roma | 4 - 4 | Napoli |
| 2006 10 January | | Cup | Roma | 2 - 1 | Napoli |
| 2005 7 December | | Cup | Napoli | 0 - 3 | Roma |
| 2001 9 June | | Serie A | Napoli | 2 - 2 | Roma |
| 2001 27 January | | Serie A | Roma | 3 - 0 | Napoli |
| 1998 21 February | | Serie A | Napoli | 0 - 2 | Roma |
| 1997 4 October | | Serie A | Roma | 6 - 2 | Napoli |
| 1997 10 May | | Serie A | Napoli | 1 - 0 | Roma |
| 1996 14 December | | Serie A | Roma | 1 - 0 | Napoli |
| 1996 20 April | | Serie A | Roma | 4 - 1 | Napoli |
| 1995 16 December | | Serie A | Napoli | 0 - 2 | Roma |
| 1995 8 April | | Serie A | Napoli | 0 - 0 | Roma |
| 1994 5 November | | Serie A | Roma | 1 - 1 | Napoli |
| 1994 29 January | | Serie A | Napoli | 1 - 1 | Roma |
| 1993 11 September | | Serie A | Roma | 2 - 3 | Napoli |
Biggest Napoli Victory vs Roma
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| 2020 29 November | | Serie A | Napoli | 4 - 0 | Roma |
Biggest Roma Victory vs Napoli
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| 1997 4 October | | Serie A | Roma | 6 - 2 | Napoli |
Biggest Napoli Defeat vs Roma
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| 1997 4 October | | Serie A | Roma | 6 - 2 | Napoli |
Biggest Roma Defeat vs Napoli
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| 2020 29 November | | Serie A | Napoli | 4 - 0 | Roma |
Last 5 Napoli Home Matches
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| 2024 3 November | | Serie A | Napoli | 0 - 3 | Atalanta |
| 2024 26 October | | Serie A | Napoli | 1 - 0 | Lecce |
| 2024 4 October | | Serie A | Napoli | 3 - 1 | Como |
| 2024 29 September | | Serie A | Napoli | 2 - 0 | Monza |
| 2024 26 September | | Cup | Napoli | 5 - 0 | Palermo |
Last 5 Roma Home Matches
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| 2024 10 November | | Serie A | Roma | 2 - 3 | Bologna |
| 2024 31 October | | Serie A | Roma | 1 - 0 | Torino |
| 2024 24 October | | UEFA Europa League | Roma | 1 - 0 | Dynamo Kyiv |
| 2024 20 October | | Serie A | Roma | 0 - 1 | Internazionale |
| 2024 29 September | | Serie A | Roma | 2 - 1 | Venezia |
Last 5 Napoli Away Matches
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| 2024 10 November | | Serie A | Internazionale | 1 - 1 | Napoli |
| 2024 29 October | | Serie A | Milan | 0 - 2 | Napoli |
| 2024 20 October | | Serie A | Empoli | 0 - 1 | Napoli |
| 2024 21 September | | Serie A | Juventus | 0 - 0 | Napoli |
| 2024 15 September | | Serie A | Cagliari | 0 - 4 | Napoli |
Last 5 Roma Away Matches
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| 2024 7 November | | UEFA Europa League | Union Saint-Gilloise | 1 - 1 | Roma |
| 2024 3 November | | Serie A | Hellas Verona | 3 - 2 | Roma |
| 2024 27 October | | Serie A | Fiorentina | 5 - 1 | Roma |
| 2024 6 October | | Serie A | Monza | 1 - 1 | Roma |
| 2024 3 October | | UEFA Europa League | Elfsborg | 1 - 0 | Roma |