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On 28 January 2020, Politano moved to Napoli on a two-year loan with an obligation to make deal permanent.

On 29 September, he opened his scoring account for Inter in the league match against Cagliari, netting the second with a long-range strike in a 2–0 home win. During the course of 2018–19 season, Politano was the most used out-field player, having made 48 appearances in all competitions; only goalkepeer Samir Handanović playing more than him. As a result, on 19 June 2019 Inter exercised their option to buy Politano from Sassuolo.

On 30 June 2018, Politano signed for Inter Milan on a season-long loan deal from Sassuolo, with an option to buy in June 2019.

He made his official debut for the club on 19 August in the first match of 2018–19 Serie A against his parent club Sassuolo, which ended in a 1–0 away loss. On 15 September, Politano played his 100th Serie A match in a 1–0 shock loss to Parma at home. Two weeks later, he made his debut in the UEFA Champions League in a 2–1 comeback win over Tottenham Hotspur at San Siro in the first group stage match.

On 5 November 2016, Politano was called up to the senior squad for the first time for the 2018 FIFA World Cup qualification match against Liechtenstein and a friendly match against Germany by manager Gian Piero Ventura. He later made his senior international debut for the national team on 28 May 2018, under manager Roberto Mancini, starting for Italy in a 2–1 friendly win over Saudi Arabia. On 20 November 2018, he scored his first goal for Italy on his second cap in the 94th minute of a 1–0 friendly match win over the United States, held in Genk.

On 27 June 2015, Roma bought back Politano for €601,000, with Caprari moving to Pescara outright for €125,000.

On 2 July 2015, Serie A club Sassuolo signed Politano in a temporary deal with an option to purchase. In June 2016, Sassuolo exercised their option to buy Politano.

On 30 June 2013, Pescara signed Politano (€500,000) and Piscitella (€1.5 million) as part of the deal that Caprari returned to Roma (€2 million) ; however, Caprari returned to Pescara again (€1.5 million) for Piscitella (€1.5 million) in January 2014.

However, with the appointment of head coach Antonio Conte and subsequent switch of formation from 4–3–3 to 3–5–2, Politano soon lost his place in the team's usual starting line-up. In January 2020, Politano passed the medical at Roma and was due to be exchanged for Leonardo Spinazzola yet the transfer collapsed as Inter was not entirely satisfied with Spinazzola's physical conditions and failed at re-negotiation of the deal.

Politano received his first Italy U19 call-up against the Italy U20 "C" side in December 2011. He then played two times during the team's 2012 UEFA European Under-19 Football Championship elite qualification campaign (featuring as a substitute for Elio De Silvestro) and appeared in two friendlies before the elite round of the competition.

Of Calabrian origin from Fiumefreddo Bruzio, Politano is a youth product of A.S. Roma, with whom he won the 2010 "Allievi" U17 league, as well as the 2011 Campionato Nazionale Primavera and the 2012 Coppa Italia Primavera. He was the sixth highest scorer of Roma's youth squad in the 2011–12 season (7 goals), behind Junior Tallo, Nicolás López, Gianluca Leonardi, Federico Viviani and Giammario Piscitella. In July 2012, Politano was loaned to Perugia. He made his professional debut in the Coppa Italia. Politano was the starting forward in the 2012–13 Lega Pro Prima Divisione, with 3 goals in first 5 league matches in September.

Matteo Politano (Italian pronunciation: [matˈtɛːo poliˈtaːno] ; born 3 August 1993) is an Italian professional footballer who plays as a winger (on both the left and the right flanks) or as a second striker for Italian club Napoli on loan from Inter Milan and the Italy national team.