This page lists the head-to-head record of AC Milan vs Roma including biggest victories and defeats between the two sides, and H2H stats in all competitions.
Overall H2H Record - Summary
| Total | Roma | AC Milan | Draws |
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| Total Matches | 66 | 21 | 24 | 21 |
| At Stadio Olimpico | 33 | 8 | 15 | 10 |
| At San Siro | 33 | 13 | 9 | 11 |
| UEFA Europa League Matches | 2 | 2 | 0 | 0 |
| Cup Matches | 2 | 1 | 0 | 1 |
| Serie A Matches | 62 | 18 | 24 | 20 |
| Total Goals Scored | 170 | 86 | 84 | |
Last 50 Roma vs AC Milan Matches
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| 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 |
| 2002 6 December | | Serie A | Milan | 1 - 0 | Roma |
| 2002 20 April | | Serie A | Milan | 0 - 0 | Roma |
| 2001 15 December | | Serie A | Roma | 1 - 0 | Milan |
Biggest Roma Victory vs AC Milan
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| 1998 2 May | | Serie A | Roma | 5 - 0 | Milan |
Biggest AC Milan Victory vs Roma
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| 2024 14 January | | Serie A | Milan | 3 - 1 | Roma |
Biggest Roma Defeat vs AC Milan
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| 2024 14 January | | Serie A | Milan | 3 - 1 | Roma |
Biggest AC Milan Defeat vs Roma
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| 1998 2 May | | Serie A | Roma | 5 - 0 | Milan |
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 AC Milan Home Matches
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| 2024 29 October | | Serie A | Milan | 0 - 2 | Napoli |
| 2024 22 October | | UEFA Champions League | Milan | 3 - 1 | Club Brugge |
| 2024 19 October | | Serie A | Milan | 1 - 0 | Udinese |
| 2024 27 September | | Serie A | Milan | 3 - 0 | Lecce |
| 2024 17 September | | UEFA Champions League | Milan | 1 - 3 | Liverpool |
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 |
Last 5 AC Milan Away Matches
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| 2024 9 November | | Serie A | Cagliari | 3 - 3 | Milan |
| 2024 5 November | | UEFA Champions League | Real Madrid | 1 - 3 | Milan |
| 2024 2 November | | Serie A | Monza | 0 - 1 | Milan |
| 2024 6 October | | Serie A | Fiorentina | 2 - 1 | Milan |
| 2024 1 October | | UEFA Champions League | Bayer Leverkusen | 1 - 0 | Milan |