Head to Head
| FINA World Champs | 2024/02/11 16:00 | USA v Italy | W | 12-13 |
| World Cup | 2023/07/02 02:00 | Italy v USA | W | 15-12 |
| World Cup | 2023/03/14 19:30 | Italy v USA | W | 16-10 |
| World League | 2022/07/27 18:00 | USA v Italy | W | 9-13 |
| World League | 2022/07/24 12:00 | Italy v USA | L | 9-13 |
| Olympics 2020 Water Polo - Men | 2021/08/06 09:20 | Italy v USA | L | 6-7 |
| Olympics 2020 Water Polo - Men | 2021/07/29 05:00 | USA v Italy | W | 11-12 |
| World League | 2021/06/30 16:00 | USA v Italy | L | 10-8 |
| World League | 2017/06/20 15:00 | USA v Italy | W | 7-9 |
| Olympics 2024 Water Polo - Men | 2016/08/14 18:30 | USA v Italy | L | 10-7 |
| FINA World Champs | 2015/07/31 18:30 | USA v Italy | L | 11-9 |
| World League | 2015/06/25 18:00 | USA v Italy | W | 10-13 |