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In August 2012 he published his autobiography, Red Card Roy, which was ghost-written by Bernie Friend.

Commenting on an incident where Colchester United hooligans attacked home supporters during a Conference championship deciding match in 1992 at Adams Park, he was quoted as saying, "It takes two to fight, one to punch, the other to stand there and be punched."

Roy took the managerial position at Colchester United for the 1991–92 season, following Ian Atkins' departure in the Summer of 1991 and achieved legendary status at the North Essex club by guiding them to a Football Conference and FA Trophy 'double', promoting them back into the full Football League.

During his period in charge, McDonough stoked the bitter rivalry with Martin O'Neill's Wycombe Wanderers that had developed during both clubs' time in non-league's 'top flight', culminating in the dramatic promotion season of 1991–92 when Colchester advanced into Division Four on the last day via a superior goal difference. While Wycombe and Colchester played out a mini-league of their own (both clubs finished some 21 points ahead of their nearest rivals) Big Roy had on occasions taunted the Wycombe players and staff and antagonised them by un-sportsmanlike tactics.

In September 1990 he returned to Colchester United, who had been relegated to the GM Vauxhall Conference, as a player. In his second season, he top scored with 29 goals in a Conference and FA Trophy Double-winning campaign as player-manager (see below), before making another 63 Football League appearances and scoring 16 times. He was sacked as manager in 1994 and joined Dagenham & Redbridge, moving on to Chelmsford City amongst others.

Between 1985 and 1986 Roy moved first to Exeter City(21 appearances, 1 goal) and then Cambridge United (32 appearances, 5 goals) before returning to Roots Hall and Southend. In his second spell at Southend, Roy became to some fans a cult hero. In around 186 appearances he scored 30 times, however certain sections of the crowd were not always enamoured with his playing style.

He went on to Colchester to make some 88 appearances, scoring 24 goals in his first spell at Layer Road before moving to local rivals Southend United in 1983. In 22 appearances for the "Shrimpers" between 1984 and 1985 he scored 4 times.

He used his family connections to win a trial at First Division club Birmingham City, and was signed to an 18-month apprenticeship after he scored four goals in two trial games. He went on to sign professional forms with the club, and made his debut in the Football League in a 1–0 defeat to Sunderland at Roker Park on 7 May 1977.

Roy McDonough was born in Solihull, he was one of four brothers and a twin to Gaz McDonough. He came from a sporting family, and had an uncle Fred Harris, who captained Birmingham City. His father, James, played for Bath City and owned a dress shop. His mother, Iris, ran a boutique. McDonough signed schoolboy forms with Aston Villa, along with his twin, after becoming top-scorer for the Birmingham schools and Warwickshire county school teams. However, in March 1975, at the age of 16, he was handed a six-month suspension from competitive football for throttling a referee in the final of the Birmingham School's Cup. He was not offered professional terms by manager Ron Saunders.

Roy McDonough (born 16 October 1958) is an English former professional football player and manager in the English football league.