All-time head-to-head

1. WJun 5, 20252–0HFIFA World Cup qualification
   FIFA World Cup qualification

   Paraguay: Matías Galarza 13', Julio Enciso 81' (pen.)

   Uruguay: —

2. DSep 6, 20240–0AFIFA World Cup qualification
   FIFA World Cup qualification
3. LJan 27, 20220–1HFIFA World Cup qualification
   FIFA World Cup qualification

   Paraguay: —

   Uruguay: Luis Suárez 50'

4. LJun 28, 20210–1NCopa América
   Copa América

   Paraguay: —

   Uruguay: Edinson Cavani 21' (pen.)

5. DJun 3, 20210–0AFIFA World Cup qualification
   FIFA World Cup qualification
6. LSep 5, 20171–2HFIFA World Cup qualification
   FIFA World Cup qualification

   Paraguay: Ángel Romero 88'

   Uruguay: Federico Valverde 76', Gustavo Gómez 80' (OG)

7. LSep 6, 20160–4AFIFA World Cup qualification
   FIFA World Cup qualification

   Paraguay: —

   Uruguay: Edinson Cavani 17', Cristian Rodríguez 41', Luis Suárez 45' (pen.), Edinson Cavani 53'

8. DJun 20, 20151–1NCopa América
   Copa América

   Paraguay: Lucas Barrios 44'

   Uruguay: José María Giménez 28'

9. DMar 22, 20131–1AFIFA World Cup qualification
   FIFA World Cup qualification

   Paraguay: Édgar Benítez 85'

   Uruguay: Luis Suárez 81'

10. DOct 11, 20111–1HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Richard Ortiz 90'

    Uruguay: Diego Forlán 68'

11. LJul 24, 20110–3NCopa América
    Copa América

    Paraguay: —

    Uruguay: Luis Suárez 11', Diego Forlán 41', Diego Forlán 89'

12. LMar 28, 20090–2AFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: —

    Uruguay: Diego Forlán 28', Diego Lugano 57'

13. WOct 17, 20071–0HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Nelson Valdez 14'

    Uruguay: —

14. LNov 17, 20040–1AFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: —

    Uruguay: Paolo Montero 78'

15. LJul 18, 20041–3NCopa América
    Copa América

    Paraguay: Carlos Gamarra 15'

    Uruguay: Carlos Bueno 40' (pen.), Darío Silva 65', Darío Silva 88'

16. WSep 10, 20034–1HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: José Cardozo 26', Carlos Humberto Paredes 53', José Cardozo 58', José Cardozo 72'

    Uruguay: Javier Chevantón 24'

17. WMar 28, 20011–0AFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Guido Alvarenga 64'

    Uruguay: —

18. WApr 26, 20001–0HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Celso Ayala 35'

    Uruguay: —

19. WNov 17, 19991–0AFriendly
    Friendly
20. DJul 10, 19991–1HCopa América
    Copa América

    Paraguay: Miguel Ángel Benítez 15'

    Uruguay: Marcelo Zalayeta 65'

21. LJun 17, 19992–3HFriendly
    Friendly
22. WApr 30, 19973–1HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Arístides Rojas 37', José Cardozo 73' (pen.), Derlis Soto 83'

    Uruguay: Darío Silva 87'

23. WJun 2, 19962–0AFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Francisco Arce 10', Arístides Rojas 88'

    Uruguay: —

24. LJul 9, 19950–1ACopa América
    Copa América

    Paraguay: —

    Uruguay: Enzo Francescoli 13'

25. LJul 12, 19890–3NCopa América
    Copa América

    Paraguay: —

    Uruguay: Enzo Francescoli 28', Antonio Alzamendi 82', Rubén Paz 89'

26. LOct 12, 19880–2AFriendly
    Friendly
27. WSep 29, 19883–1HFriendly
    Friendly
28. LFeb 10, 19851–3HCopa Artigas
    Copa Artigas
29. LFeb 3, 19850–1ACopa Artigas
    Copa Artigas
30. DAug 25, 19830–0AFriendly
    Friendly
31. LJun 9, 19830–3ACopa Artigas
    Copa Artigas
32. DJun 2, 19830–0HCopa Artigas
    Copa Artigas
33. DSep 26, 19792–2ACopa América
    Copa América

    Paraguay: Eugenio Morel 34', Eugenio Morel 88'

    Uruguay: Denís Milar 54' (pen.), Rubén Paz 83'

34. DSep 20, 19790–0HCopa América
    Copa América
35. LJan 23, 19771–2ACopa Artigas
    Copa Artigas
36. DJan 12, 19771–1HCopa Artigas
    Copa Artigas
37. WMay 19, 19761–0HAtlantic Cup
    Atlantic Cup
38. DMar 10, 19762–2AAtlantic Cup
    Atlantic Cup
39. WJun 19, 19751–0ACopa Artigas
    Copa Artigas
40. LJun 12, 19750–1HCopa Artigas
    Copa Artigas
41. DJun 2, 19680–0HCopa Artigas
    Copa Artigas
42. LJan 29, 19670–2ACopa América
    Copa América

    Paraguay: —

    Uruguay: Domingo Pérez 32', José Urruzmendi 66'

43. LMay 18, 19661–3ACopa Artigas
    Copa Artigas
44. DMay 15, 19662–2HCopa Artigas
    Copa Artigas
45. LMay 1, 19650–4ACopa Artigas
    Copa Artigas
46. WApr 25, 19652–1HCopa Artigas
    Copa Artigas
47. LJul 13, 19601–2AAtlantic Cup
    Atlantic Cup
48. DDec 22, 19591–1NCopa América
    Copa América

    Paraguay: Silvio Parodi 32'

    Uruguay: José Sasía 88'

49. WMay 1, 19593–1AFriendly
    Friendly
50. LMar 18, 19591–3NCopa América
    Copa América

    Paraguay: José Aveiro 77'

    Uruguay: Héctor Demarco 2', Vladas Douksas 37', José Sasía 85'

51. LJul 28, 19570–2AFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: —

    Uruguay: Eladio Benítez 8', William Martínez 88'

52. WJul 14, 19575–0HFIFA World Cup qualification
    FIFA World Cup qualification

    Paraguay: Florencio Amarilla 5', Florencio Amarilla 48', Florencio Amarilla 57', Ángel Jara Saguier 88', Juan Bautista Agüero 90'

    Uruguay: —

53. DJul 15, 19562–2HFriendly
    Friendly
54. LJan 21, 19562–4ACopa América
    Copa América

    Paraguay: Máximo Rolón 81', Antonio Gómez 89'

    Uruguay: Óscar Míguez 12', Guillermo Escalada 25', Guillermo Escalada 32', José Walter Roque 65'

55. LMar 9, 19551–3NCopa América
    Copa América

    Paraguay: Máximo Rolón 23'

    Uruguay: Carlos Borges 2', Julio Abbadie 5', Óscar Míguez 86' (pen.)

56. DApr 18, 19541–1HFriendly
    Friendly
57. WApr 10, 19544–1AFriendly
    Friendly
58. DMar 12, 19532–2NCopa América
    Copa América

    Paraguay: Atilio López 5', Ángel Berni 52'

    Uruguay: Osvaldo Balseiro 36', Osvaldo Balseiro 55'

59. WApr 30, 19503–2NFriendly
    Friendly
60. LApr 20, 19491–2NCopa América
    Copa América

    Paraguay: Dionisio Arce 65' (pen.)

    Uruguay: Jose Maria Garcia 22', Jose Maria Garcia 69'

61. WDec 13, 19474–2NCopa América
    Copa América

    Paraguay: Alejandrino Genés 52', Leocadio Marín 76', Alejandrino Genés 79', Juan Bautista Villalba 89'

    Uruguay: Héctor Magliano 3', Julio César Britos 47'

62. WFeb 8, 19462–1NCopa América
    Copa América

    Paraguay: Juan Bautista Villalba 37', Albino Rodríguez 75'

    Uruguay: Raúl Schiaffino 57'

63. LJan 28, 19421–3ACopa América
    Copa América

    Paraguay: Marcial Barrios 58'

    Uruguay: Severino Varela 9', Roberto Porta 26', Aníbal Ciocca 65'

64. LFeb 5, 19391–3NCopa América
    Copa América

    Paraguay: Marcial Barrios 59'

    Uruguay: Pedro Lago 14', Severino Varela 40' (pen.), Roberto Porta 66'

65. WJan 2, 19374–2NCopa América
    Copa América

    Paraguay: Amadeo Ortega 9', Aurelio González 35', Adolfo Erico 38' (pen.), Amadeo Ortega 79'

    Uruguay: Severino Varela 16', Severino Varela 28'

66. WNov 1, 19293–0NCopa América
    Copa América

    Paraguay: Aurelio González 16', Diógenes Domínguez 55', Aurelio González 86'

    Uruguay: —

67. DAug 19, 19281–1HFriendly
    Friendly
68. WAug 15, 19283–1HFriendly
    Friendly
69. LNov 1, 19261–6NCopa América
    Copa América

    Paraguay: Manuel Fleitas Solich 58' (pen.)

    Uruguay: Héctor Castro 16', Héctor Castro 23', Héctor Castro 32', Zoilo Saldombide 47' (pen.), Héctor Castro 72', Zoilo Saldombide 82'

70. DAug 23, 19250–0HFriendly
    Friendly
71. LAug 19, 19250–1HFriendly
    Friendly
72. WAug 15, 19251–0HFriendly
    Friendly
73. WJul 18, 19251–0AFriendly
    Friendly
74. WJul 14, 19251–0AFriendly
    Friendly
75. LOct 26, 19241–3ACopa América
    Copa América

    Paraguay: Paisano Urbita Sosa 77'

    Uruguay: Pedro Petrone 28', Ángel Romano 37', José Cea 53'

76. LNov 4, 19230–2ACopa América
    Copa América

    Paraguay: —

    Uruguay: Héctor Scarone 11', Pedro Petrone 87'

77. WOct 12, 19221–0NCopa América
    Copa América

    Paraguay: Carlos Elizeche 7'

    Uruguay: —

78. LNov 2, 19212–4AFriendly
    Friendly
79. WOct 9, 19212–1NCopa América
    Copa América

    Paraguay: Gerardo Rivas 9', Ildefonso López 66'

    Uruguay: José Piendibene 83'

Source: martj42/international_results — international matches from 1872 to today (MIT-licensed open dataset). Predecessor teams follow FIFA attribution (Yugoslavia → Serbia, Czechoslovakia → Czechia).