Every meeting

27 Mar 2021 AFCON Qualifiers · Group stage	Lesotho	0–0	Sierra Leone	D
13 Nov 2019 AFCON Qualifiers · Group stage	Sierra Leone	1–1	Lesotho	D

This record covers meetings from 13 November 2019 onwards. Earlier games between these teams aren't on the site yet, so the all-time totals may be higher.
W / D / L from Lesotho's side. Penalty shootouts count as draws.