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On May 2, 2018, Romero was called up by the Twins. He made his MLB debut that day as the starting pitcher against the Toronto Blue Jays, pitching 5.2 innings, with zero runs allowed, three walks, and five strikeouts, while earning his first Major League win.

Romero returned from the injury in 2016 and started the year with Cedar Rapids, and after five starts was promoted to the Fort Myers Miracle. Romero ended 2016 with a combined 9-3 record and 1.89 ERA in 16 games started between both clubs.

The Twins added him to their 40-man roster after the 2016 season. He spent 2017 with the Chattanooga Lookouts where he compiled an 11-9 record and 3.53 ERA in 24 games (23 starts). He began 2018 with the Rochester Red Wings.

Romero signed with the Minnesota Twins as an international free agent in November 2011. He made his professional debut in 2012 with the Dominican Summer League Twins and spent the whole season there, going 1-4 with a 4.65 ERA in 31 innings. He pitched 2013 with the Gulf Coast Twins where he was 2-0 with a 1.60 ERA in 45 innings. Romero began 2014 with the Cedar Rapids Kernels but suffered a partially torn ulnar collateral ligament after only three games which required Tommy John Surgery. The injury ended his 2014 season and caused him to miss the entire 2015 season.

Fernando Ernesto Romero Peralta (born December 24, 1994) is a Dominican professional baseball pitcher for the Minnesota Twins of Major League Baseball (MLB).