C. Alcaraz leads the head-to-head 11-9 since 2018 against J. Sinner, over 20 matches.
ELO is computed per surface from results since 2018; the win-loss pair is that surface's record.
| Date | Winner | Score | Event |
| April 12, 2026 | J. Sinner | 2 - 0 | Monte Carlo · Final · clay |
| Jan. 10, 2026 | C. Alcaraz | 2 - 0 | Others matches |
| Nov. 16, 2025 | J. Sinner | 2 - 0 | Finals - Turin · Final · hard |
| Oct. 18, 2025 | J. Sinner | 2 - 0 | Six Kings Slam · Final · hard |
| Sept. 7, 2025 | C. Alcaraz | 3 - 1 | US Open · Final · hard |
| Aug. 18, 2025 | C. Alcaraz | 0 - 0 | Cincinnati · Final · hard |
| July 13, 2025 | J. Sinner | 3 - 1 | Wimbledon · Final · grass |
| June 8, 2025 | C. Alcaraz | 3 - 2 | French Open · Final · clay |
| May 18, 2025 | C. Alcaraz | 2 - 0 | Rome · Final · clay |
| Oct. 19, 2024 | J. Sinner | 2 - 1 | Six Kings Slam · Final · hard |
| Oct. 2, 2024 | C. Alcaraz | 2 - 1 | ATP Beijing · Final · hard |
| June 7, 2024 | C. Alcaraz | 3 - 2 | ATP French Open · Semi-finals · clay |
| March 16, 2024 | C. Alcaraz | 2 - 1 | ATP Indian Wells · Semi-finals · hard |
| Oct. 3, 2023 | J. Sinner | 2 - 0 | ATP Beijing · Semi-finals · hard |
| April 1, 2023 | J. Sinner | 2 - 1 | ATP Miami · Semi-finals · hard |
| March 19, 2023 | C. Alcaraz | 2 - 0 | ATP Indian Wells · Semi-finals · hard |
| Sept. 8, 2022 | C. Alcaraz | 3 - 2 | US Open · Quarter-finals · hard |
| July 31, 2022 | J. Sinner | 2 - 1 | Umag · Final · clay |
| July 3, 2022 | J. Sinner | 3 - 1 | Wimbledon · 1/8-finals · grass |
| Nov. 3, 2021 | C. Alcaraz | 2 - 0 | Paris · 1/16-finals · hard |