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On 18 January 2019, Greco joined to Foggia Calcio for a fee.

On 31 August 2019, he joined Cosenza on a 1-year contract. On 31 January 2020, he signed with Perugia until the end of the season.

On 6 July 2018, Greco signed a two-year contract with Serie B club Cremonese.

In July 2013, Greco returned to Italy for Livorno. On 20 June 2014, his contract with Livorno was terminated in mutual consent.

On 20 June 2014, Leandro Greco has signed a three-year contract with the Serie A team Genoa.

Greco's contract was extended along with Daniele De Rossi and Simone Perrotta in February 2012. Greco signed a new 3-year contract with annual gross salary of €1.254 million plus bonuses, moreover, 2011–12 season gross salary also increased to €0.8 million.

At the start of 2012–13 Serie A, Greco was included in the pre-season camp, however he trained separately due to minor injury.

In July 2012, Greek Champions Olympiacos signed the 26 year old Leandro Greco for three years on a free transfer. Leandro scored his first goal for the Peireus outfit in the Champions League game against Montpellier HSC (3–1 home win).

Greco returned to Roma for the 2010–11 season and was immediately put on transfer list, but no club showed interest in signing him, so he was placed on the first team instead. An injury crisis head coach Claudio Ranieri to bring him on the bench for a UEFA Champions League game against FC Basel, during which Greco entered as a substitute for the final 15 minutes and scored a goal only one minute after entering; the game ended in a 3–2 win for Roma. Greco's good performances led Ranieri to call him up for the Rome derby, during which he came on for injured Jérémy Menez during the first half and provided a solid performance in a 2–0 win for his side. He was promoted to the starting lineup for subsequent games against Fiorentina and Juventus.

He played the second half of 2008–09 on loan to Pisa of Serie B. His loan stint was cut short in January 2010, and Greco was successively sent to another Serie B club, Piacenza, for the remainder of the season.

He was farmed to Hellas Verona for the following two seasons, playing a total of 40 games (26 in his first season, 14 in his second). Verona acquired half of the registration rights in June 2007 for €300,000, but bought back by Roma in June 2008 for just €150,000.

A midfielder, Greco was a regular in the Roma youth squad. He made his Serie A debut for AS Roma in 2004–05. In 2005–06, Greco managed to make only a handful of appearances, all as a substitute player.

Leandro Greco (born 19 July 1986) is an Italian footballer who plays as a midfielder for Serie B club Perugia.