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On 27 July 2019, Sawyers returned to West Bromwich Albion, signing a three-year contract after being bought for an undisclosed fee (reported to be £2.9 million); Sawyers stated that "this is the team that I have always wanted to play for". Manager Slaven Bilić said that "we targeted him as a player who will raise the quality in our midfield". He chose to wear the #19 shirt in homage to former midfielder Jason Koumas. On 22 February 2020, he was sent off after putting his hand to the throat of former Walsall teammate Jamie Paterson during a 3–0 win at Bristol City. During break in play due to the COVID-19 pandemic in England, FourFourTwo magazine listed Sawyers as the ninth best player in the EFL.

He was reported to be a transfer target of West Bromwich Albion manager Darren Moore in June 2018. Soon after taking charge at Brentford, new manager Thomas Frank named Sawyers as the new club captain in November 2018. Frank moved Sawyers further down the pitch as part of two central midfielders with Kamohelo Mokotjo rather than as one of three. He made 46 appearances during the 2018–19 season and was linked with a move to Aston Villa in the summer.

On 1 July 2016, Sawyers signed with Championship club Brentford in a move that reunited him with former Walsall boss Dean Smith. He made his debut for the "Bees" in a 2–1 away defeat to Huddersfield Town on the opening day of the 2016–17 season. He scored his first goal for Brentford in a 2–0 win over West London derby rivals Queens Park Rangers on 28 October. He ended the 2016–17 campaign with three goals in 45 matches, helping Brentford a tenth-place finish as the key link between defence and attack. He scored five goals and contributed five assists in 44 appearances across the 2017–18 season as Brentford finished in ninth position, and was described as "one of the standout players at Griffin Park this season with his touch and passing range impressing many". He was voted Players' Player of the Year by the Brentford squad and was also named as Community Player of the Year.

On 13 September 2014, he was described as a "shining light throughout" a 3–1 home win over Preston North End, earning a place on the Football League team of the week. He played in the 2015 final of the Football League Trophy, a 2–0 defeat to Bristol City, which was Walsall's first appearance at Wembley Stadium. In total he scored five goals in 51 appearances in the 2014–15 season, and was praised by manager Smith despite being criticised by some supporters. He won a place on the Football League team of the week after scoring a brace – including a "25-yard rocket into the top corner of the net" – in a 4–0 triumph at Blackpool on 29 August 2015. He was named in League One's PFA Team of the Year for his performances in the 2015–16 season, alongside teammate Rico Henry. He was also nominated for the PFA League One 'Player of the Year', and finished as runner-up to Gillingham's Bradley Dack. He rejected the club's offer a new contract and departed as a free agent at the end of the season.

A West Bromwich Albion academy graduate, he had brief spells on loan at Port Vale, Shrewsbury Town and Walsall. He signed with Walsall in July 2013, following his release from West Brom. He played on the losing side in the 2015 final of the Football League Trophy. He was named in League One's PFA Team of the Year for his performances in the 2015–16 season. He joined Brentford in July 2016 and went on to serve as club captain before he returned to West Bromwich Albion for an undisclosed fee in July 2019.

Sawyers joined League One club Walsall on loan in March 2013; manager Dean Smith said that "He's a talented lad who can play-off the front-man... I know that Albion rate him highly, so it's good to have him on board." He made four substitute appearances for the club. He was released by West Brom in June 2013. Following his release from West Brom, Sawyers signed a permanent one-year deal at Walsall in July 2013; Dean Smith stated that he saw potential and an excellent attitude in the player despite his limited playing time on loan. On 17 August 2013, he marked his first senior start for Walsall with his first goal from 25 yards in a 1–1 draw with Notts County at the Bescot Stadium. He finished the 2013–14 season with seven goals in 49 appearances, and signed a new two-year deal with the club.

On 27 January 2012, he joined Graham Turner's League Two Shrewsbury Town on a one-month loan, and the following day he was named as an unused substitute for the 2–0 win at Hereford United. He made his first league start against Torquay United at Plainmoor on 11 February. On 25 February, it was announced his loan had been extended until the end of the 2011–12 season. In total he made two starts and five substitute appearances for Shrewsbury.

Sawyers represented Saint Kitts and Nevis national under-23 football team in the second round of the Caribbean Football Union's qualifying phase for the 2012 CONCACAF Men's Olympic Qualifying Championship. In the three games the team played, he scored four goals. He was called up to the full team for the qualification for the 2012 Caribbean Cup. He scored a goal and claimed an assist on his debut, in a 2–0 win over Anguilla at the Warner Park Sporting Complex in Basseterre.

Sawyers first made the West Bromwich Albion substitute bench for the final game of the 2008–09 season. Following this, he won his first professional contract with the club. However, he spent most of the 2009–10 season nursing a knee injury. On 21 January 2011, he joined Jim Gannon's Port Vale on a one-month loan, along with Kayleden Brown. He made his debut for the League Two club two days later, in a 1–0 defeat to Cheltenham Town at Vale Park, replacing Adam Yates. However this was to be his only game for the club, as the pair returned to The Hawthorns after the loan spell ended with Sawyers having made no further first team appearances.

Romaine Theodore Sawyers (born 2 November 1991) is a professional footballer who plays as a midfielder for Championship club West Bromwich Albion and for the Nevisian national team.