Every meeting

26 Mar 2023 AFCON Qualifiers · Group stage	Sao Tome and Principe	0–2	Sierra Leone	L
22 Mar 2023 AFCON Qualifiers · Group stage	Sierra Leone	2–2	Sao Tome and Principe	D

This record covers meetings from 22 March 2023 onwards. Earlier games between these teams aren't on the site yet, so the all-time totals may be higher.
W / D / L from Sao Tome and Principe's side. Penalty shootouts count as draws.