This page lists the head-to-head record of Roma vs Palermo including biggest victories and defeats between the two sides, and H2H stats in all competitions.
Overall H2H Record - Summary
| Total | Palermo | Roma | Draws |
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| Total Matches | 26 | 8 | 14 | 4 |
| At Stadio Renzo Barbera | 13 | 3 | 9 | 1 |
| At Stadio Olimpico | 13 | 5 | 5 | 3 |
| Cup Matches | 2 | 1 | 1 | 0 |
| Serie A Matches | 24 | 7 | 13 | 4 |
| Total Goals Scored | 87 | 34 | 53 | |
Last 50 Palermo vs Roma Matches
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| 2017 12 March | | Serie A | Palermo | 0 - 3 | Roma |
| 2016 23 October | | Serie A | Roma | 4 - 1 | Palermo |
| 2016 21 February | | Serie A | Roma | 5 - 0 | Palermo |
| 2015 4 October | | Serie A | Palermo | 2 - 4 | Roma |
| 2015 31 May | | Serie A | Roma | 1 - 2 | Palermo |
| 2015 17 January | | Serie A | Palermo | 1 - 1 | Roma |
| 2013 30 March | | Serie A | Palermo | 2 - 0 | Roma |
| 2012 4 November | | Serie A | Roma | 4 - 1 | Palermo |
| 2012 10 March | | Serie A | Palermo | 0 - 1 | Roma |
| 2011 23 October | | Serie A | Roma | 1 - 0 | Palermo |
| 2011 16 April | | Serie A | Roma | 2 - 3 | Palermo |
| 2010 28 November | | Serie A | Palermo | 3 - 1 | Roma |
| 2010 13 February | | Serie A | Roma | 4 - 1 | Palermo |
| 2009 23 September | | Serie A | Palermo | 3 - 3 | Roma |
| 2009 28 January | | Serie A | Roma | 2 - 1 | Palermo |
| 2008 13 September | | Serie A | Palermo | 3 - 1 | Roma |
| 2008 26 January | | Serie A | Roma | 1 - 0 | Palermo |
| 2007 26 August | | Serie A | Palermo | 0 - 2 | Roma |
| 2007 6 May | | Serie A | Palermo | 1 - 2 | Roma |
| 2006 17 December | | Serie A | Roma | 4 - 0 | Palermo |
| 2006 14 April | | Serie A | Palermo | 3 - 3 | Roma |
| 2006 11 April | | Cup | Roma | 1 - 0 | Palermo |
| 2006 21 March | | Cup | Palermo | 2 - 1 | Roma |
| 2005 10 December | | Serie A | Roma | 1 - 2 | Palermo |
| 2005 26 February | | Serie A | Palermo | 2 - 0 | Roma |
| 2004 23 October | | Serie A | Roma | 1 - 1 | Palermo |
Biggest Palermo Victory vs Roma
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| 2013 30 March | | Serie A | Palermo | 2 - 0 | Roma |
Biggest Roma Victory vs Palermo
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| 2016 21 February | | Serie A | Roma | 5 - 0 | Palermo |
Biggest Palermo Defeat vs Roma
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| 2016 21 February | | Serie A | Roma | 5 - 0 | Palermo |
Biggest Roma Defeat vs Palermo
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| 2013 30 March | | Serie A | Palermo | 2 - 0 | Roma |
Last 5 Palermo Home Matches
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| 2024 15 December | | Serie B | Palermo | 1 - 2 | Catanzaro |
| 2024 1 December | | Serie B | Palermo | 2 - 0 | Spezia |
| 2024 24 November | | Serie B | Palermo | 1 - 1 | Sampdoria |
| 2024 3 November | | Serie B | Palermo | 0 - 1 | Cittadella |
| 2024 26 October | | Serie B | Palermo | 2 - 0 | Reggiana |
Last 5 Roma Home Matches
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| 2024 18 December | | Cup | Roma | 4 - 1 | Sampdoria |
| 2024 12 December | | UEFA Europa League | Roma | 3 - 0 | Sporting Braga |
| 2024 7 December | | Serie A | Roma | 4 - 1 | Lecce |
| 2024 2 December | | Serie A | Roma | 0 - 2 | Atalanta |
| 2024 10 November | | Serie A | Roma | 2 - 3 | Bologna |
Last 5 Palermo Away Matches
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| 2024 7 December | | Serie B | Carrarese | 1 - 0 | Palermo |
| 2024 8 November | | Serie B | Frosinone | 1 - 1 | Palermo |
| 2024 30 October | | Serie B | Mantova | 0 - 0 | Palermo |
| 2024 19 October | | Serie B | Modena | 2 - 2 | Palermo |
| 2024 30 September | | Serie B | Sudtirol | 1 - 3 | Palermo |
Last 5 Roma Away Matches
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| 2024 15 December | | Serie A | Como | 2 - 0 | Roma |
| 2024 28 November | | UEFA Europa League | Tottenham Hotspur | 2 - 2 | Roma |
| 2024 24 November | | Serie A | Napoli | 1 - 0 | Roma |
| 2024 7 November | | UEFA Europa League | Union Saint-Gilloise | 1 - 1 | Roma |
| 2024 3 November | | Serie A | Hellas Verona | 3 - 2 | Roma |