in the Teesside Gazette of double standards. By the time of his departure, Ramírez became the third Uruguayan player to leave Middlesbrough following the departure of his compatriot Carlos de Pena and Cristhian Stuani. Sampdoria On 4 August 2017, Ramírez joined Serie A side Sampdoria for a fee of £9.85 million. It came after Middlesbrough received no bids for his services and his contract contained no clause allowing him to approach clubs. Reflecting on playing in England he said:"I've been five years in the Premier League (previously at Southampton and Hull), I grew up playing with strong players. I played the World Cup, Copa America, now I've improved and completed. I have the right experience to take on my responsibilities and give the team what is missing in an important moment for my career." Ramírez made his Sampdoria debut in the opening game of the season, where he set up a goal for Fabio Quagliarella. Monza On 7 December 2021, Ramírez moved to Serie B side Monza until 30 June 2022, becoming the club's first Uruguayan player. Virtus Entella On 22 October 2022, Ramírez signed with Serie C club Virtus Entella. International career In 2009, Ramírez played in the FIFA U-20 World Cup. On 8 October 2010, he received his first full cap for Uruguay in a 7–1 friendly win against Indonesia in Jakarta, replacing Diego Pérez at half time. In July 2012, he was named in the Uruguay squad for the football tournament at the 2012 Summer Olympics, scoring during a warm-up match against Panama on 15 July. On 26 July, he scored from a free-kick to equalise as Uruguay won 2–1 against the United Arab Emirates at Old Trafford in their opening game, although they were eventually eliminated at the group stage. In June 2013, Ramírez was picked by Óscar Tabárez for the 2013 FIFA Confederations Cup tournament. Ramírez started the first group game against world champions Spain, and the third match against Tahiti, as Uruguay eventually came fourth. On 31 May 2014, Ramírez was named in Uruguay's squad for the 2014 FIFA World Cup. He made his tournament debut in the last group game against Italy on 24 June, replacing Cristian Rodríguez after 78 minutes. Three minutes later he supplied the cross from which Diego Godín scored the only goal of the game, putting Uruguay through to the knock-out stages. After missing the Copa América due to