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These two clubs first faced each other in the 1934/35 campaign, when both were plying their trade in Serie B. It was Genoa who enjoyed early success in this fixture as they did the double over Cagliari that season, securing 2-0 and 1-0 victories.

Since then there has been little to separate them. The head-to-head is very close, with both enjoying periods of dominance. The Grifone maintained a strong start to the rivalry and lost just one of the first nine meetings between the pair. The Isolani then evened things up by putting together a 15-match unbeaten run between 1990-2001, winning eight during that period.

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