J. Sinner leads the head-to-head 10-4 since 2018 against A. Zverev, over 14 matches.
| Date | Winner | Score | Event |
| July 12, 2026 | J. Sinner | 3 - 1 | Wimbledon · Final · grass |
| May 3, 2026 | J. Sinner | 2 - 0 | Madrid · Final · clay |
| April 11, 2026 | J. Sinner | 2 - 0 | Monte Carlo · Semi-finals · clay |
| March 28, 2026 | J. Sinner | 2 - 0 | Miami · Semi-finals · hard |
| March 14, 2026 | J. Sinner | 2 - 0 | ATP Indian Wells · Semi-finals · hard |
| Nov. 12, 2025 | J. Sinner | 2 - 0 | Finals - Turin · hard |
| Nov. 1, 2025 | J. Sinner | 2 - 0 | Paris · Semi-finals · hard |
| Oct. 26, 2025 | J. Sinner | 2 - 1 | Vienna · Final · hard |
| Jan. 26, 2025 | J. Sinner | 3 - 0 | Australian Open · Final · hard |
| Aug. 18, 2024 | J. Sinner | 2 - 1 | ATP Cincinnati · Semi-finals · hard |
| Sept. 5, 2023 | A. Zverev | 3 - 2 | ATP US Open · 1/8-finals · hard |
| April 15, 2022 | A. Zverev | 2 - 1 | Monte Carlo · Quarter-finals · clay |
| Sept. 6, 2021 | A. Zverev | 3 - 0 | US Open · 1/8-finals · hard |
| Oct. 24, 2020 | A. Zverev | 2 - 0 | Cologne 2 · Semi-finals · hard |