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On 3 January 2019 he moved to Serie B side Lecce on loan, with a clause included to make the move permanent in the summer. On 19 January he made his debut with the giallorossi side in a home draw against Benevento in the Serie B. On 11 May 2019, he helped his club in a 2–1 home win against Spezia Calcio and Lecce secured automatic promotion to Serie A. Lecce triggered the buying option at the end of the season.

On 5 September 2018, Tachtsidis signed for EFL Championship side Nottingham Forest on a 2-year deal. In December 2018, Tachtsidis completed a loan move to Italian club Lecce. The deal included a clause to make the move permanent the following summer. The Greek midfielder had found his opportunities hugely limited at the City Ground, following his arrival from Olympiacos. The 27-year-old has featured on the bench – but has not had any minutes on the pitch, amid fierce competition for places in Aitor Karanka's squad.

On 30 June 2017, he was signed by Olympiacos. On 19 September 2017, he made his debut with the club in a Greek Cup 2–1 home win game against Asteras Tripolis. On 7 February 2018, Tachtsidis grabbed a goal back from a set-piece for Oscar Garcia's Olympiacos, but the reds could not find a way back and waved goodbye to a chance of silverware with AEK progressing to the Greek Cup semifinals 2–1 on aggregate after the first leg ended 0-0. It was his first goal with the club.

On 5 August 2016, he signed a contract with Torino for a fee of reported €1.3 million. However, contradicted to the press release, Torino stated in the 2016 filing that the deal initially a loan.

Less than a month after the signing of his contract with Torino, Cagliari signed Tachtsidis in a temporary deal. On 15 November 2016 Tachtsidis was injured for at least two weeks after an injury on international duty.

He made his debut for Genoa on 23 August 2015, away to Palermo, as a 68th minute replacement for Diego Capel. He scored his first goal for the club in a 3–2 win against Chievo Verona.

On 30 March 2015 Tachtsidis and Vangelis Moras as well Giannis Fetfatzidis were in a car crash. The three Greek internationals were travelling by taxi to Budapest Airport in Hungary, following a Euro 2016 qualifier. One person was killed in the collision, but the Greek Federation released a statement confirming that the three players were not seriously injured. Three other people were seriously injured in the crash. On 11 October 2015, he scored his first goal with Greece in a 4–3 home win against Hungary when he lashed in a powerful shot.

On 9 January 2014, he was loaned to Torino on loan for the rest of the season. He made his first appearance on 19 January, in a 2–0 away win against Sassuolo. He scored his first goal for the club in a 3–3 away draw against Lazio. On 13 June 2014, Tachtsidis and Lodi returned to Genoa and Catania respectively.

Genoa bought back Tachtsidis on 13 June 2014. On 18 July 2014, he returned to Verona on loan with a buyout option at the end of the season. However, Verona did not bought Tachtsidis; Tachtsidis returned to Genoa at the end of season, making his debut 2 months later.

Tachtsidis' exceptional season with both Catania and Torino was his passport not only to be called from Greek national manager Fernando Santos to the 30-man provisional World Cup squad, but also to the final 23-man squad for 2014 FIFA World Cup.

On 20 June 2013, Roma signed Mattia Destro outright for a pre-agreed figure of €4.5 million. Giammario Piscitella and Valerio Verre, who were sent to Genoa as part of the Destro loan deal, returned to Roma for €4 million in total (having cost Genoa €3 million in 2012). As part of this complex deal, Tachtsidis returned to Genoa for €3 million.

On 20 June 2013, it was announced that Tachtsidis had returned to Genoa, however, less than a month later he was sold in a co-ownership deal to Catania in exchange for the co-ownership of Francesco Lodi. However, he left the club temporarily after 6 months and definitively in June 2014.

On 19 July 2012, Tachtsidis signed a five-year contract with Roma for a fee of €2.5 million in co-ownership deal (€1.5 million plus 50% registration rights of Andrea Bertolacci). He scored one goal in 21 appearances for the club during the 2012–13 season.

In the 2011–12 season, he was loaned to Verona. With Verona, he helped the club reach the play-offs.

On 21 April 2010, Tachtsidis completed a move to Italian club Genoa that had already been previously agreed upon in January 2010.

In August 2010, he was loaned to Cesena with an option to buy half of his registration rights in co-ownership. In February 2011, he was loaned to Grosseto.

Tachtsidis was scouted by Toni Savevski, the head of AEK Athens's youth academy at the time, and signed his first professional contract with AEK on 1 November 2007. Shortly after signing his first professional contract, Tachtsidis made his debut for AEK in the Greek Cup against Fostiras. On 27 January 2009, he became the youngest player to have ever played for AEK in the Greek League when he played against Thrasyvoulos, being 16 years and 348 days old; that record, however, has since been surpassed by Taxiarchis Fountas, also for AEK. Against Thrasyvoulos, Tachtsidis scored the winning goal in the 92nd minute to give his team the three points.

Panagiotis Tachtsidis (Greek: Παναγιώτης Ταχτσίδης ; born 15 February 1991) is a Greek professional footballer who plays as a midfielder for Serie A club Lecce and the Greece national team.