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 | 52 | 17 | 21 | 14 |
| At Stadio San Paolo | 26 | 7 | 13 | 6 |
| At Stadio Olimpico | 26 | 10 | 8 | 8 |
| Cup Matches | 4 | 1 | 3 | 0 |
| Serie A Matches | 48 | 16 | 18 | 14 |
| Total Goals Scored | 146 | 68 | 78 | |
Last 50 Napoli vs Roma Matches
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| 2025 2 February | | Serie A | Roma | 1 - 1 | Napoli |
| 2024 24 November | | Serie A | Napoli | 1 - 0 | Roma |
| 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 |
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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| 2025 4 November | | UEFA Champions League | Napoli | 0 - 0 | Eintracht Frankfurt |
| 2025 1 November | | Serie A | Napoli | 0 - 0 | Como |
| 2025 25 October | | Serie A | Napoli | 3 - 1 | Internazionale |
| 2025 5 October | | Serie A | Napoli | 2 - 1 | Genoa |
| 2025 1 October | | UEFA Champions League | Napoli | 2 - 1 | Sporting Lisbon |
Last 5 Roma Home Matches
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| 2025 29 October | | Serie A | Roma | 2 - 1 | Parma |
| 2025 23 October | | UEFA Europa League | Roma | 1 - 2 | Viktoria Plzen |
| 2025 18 October | | Serie A | Roma | 0 - 1 | Internazionale |
| 2025 2 October | | UEFA Europa League | Roma | 0 - 1 | Lille |
| 2025 28 September | | Serie A | Roma | 2 - 0 | Hellas Verona |
Last 5 Napoli Away Matches
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| 2025 28 October | | Serie A | Lecce | 0 - 1 | Napoli |
| 2025 21 October | | UEFA Champions League | PSV | 6 - 2 | Napoli |
| 2025 18 October | | Serie A | Torino | 1 - 0 | Napoli |
| 2025 28 September | | Serie A | Milan | 2 - 1 | Napoli |
| 2025 18 September | | UEFA Champions League | Manchester City | 2 - 0 | Napoli |
Last 5 Roma Away Matches
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| 2025 6 November | | UEFA Europa League | Rangers | 0 - 2 | Roma |
| 2025 2 November | | Serie A | Milan | 1 - 0 | Roma |
| 2025 26 October | | Serie A | Sassuolo | 0 - 1 | Roma |
| 2025 5 October | | Serie A | Fiorentina | 1 - 2 | Roma |
| 2025 24 September | | UEFA Europa League | Nice | 1 - 2 | Roma |