The London Double Header ran between 2004 and 2017 and typically opened the season of Premiership Rugby (currently known as the Gallagher Premiership due to sponsorship), the top rugby union league in England.

Two games were played consecutively at Twickenham Stadium, originally involving the 'big four' London origin teams of the Premiership, Harlequins, London Irish, Saracens and Wasps (London Wasps until the 2014–15 season). Harlequins were relegated from the premiership at the end of the 2004–05 season and thus for the 2005–06 season Leeds Tykes were included instead. The same applied to London Irish in 2016 who were replaced. The matches form part of the regular season fixtures, with one team nominated as the home side for each match. Since 2008 (2016 being an exception) and the inception of The Big Game, Harlequins only compete in the double-header as an away side in order to reduce the number of home games they play away from Twickenham Stoop.

From 2015 and following Wasps' relocation to Coventry, the direction of the series changed. Two London teams (normally London Irish and Saracens) acted as the hosts, with the away teams being any of the other 10 Premiership Rugby teams. In 2016, Harlequins hosted due to London Irish's relegation from the premiership. In 2015, 2016 and 2017 the series featured a newly promoted team. The Double Header did not take place in 2018 due to redevelopment works at Twickenham Stadium and has not returned.

At other times of year Twickenham is also used for regular season Premiership fixtures, such as The Big Game hosted by Harlequins at Christmas time, The Clash hosted by Bath and the Premiership Final in June, as well as international fixtures including those by the Barbarians, plus inter-armed forces and varsity matches.

2004

4 September 2004 14:00
London Irish18–12Harlequins
Twickenham Stadium Attendance: 51,000 Referee: Wayne Barnes
4 September 2004 16:15
Saracens13–11London Wasps
Twickenham Stadium Attendance: 51,000

2005

3 September 2005 14:00
London Wasps23–11Saracens
Twickenham Stadium Attendance: 35,000
3 September 2005 16:20
Leeds Tykes11–27London Irish
Twickenham Stadium Attendance: 35,000 Referee: Sean Davey

2006

2 September 2006 14:00
London Irish20–19NEC Harlequins
Twickenham Stadium Attendance: 51,960
2 September 2006 16:20
Saracens19–21London Wasps
Twickenham Stadium Attendance: 51,960 Referee: Roy Maybank

2007

15 September 2007 15:30
Harlequins35–27London Irish
Twickenham Stadium Attendance: 39,400 Referee: Ashley Rowden
15 September 2007 18:00
London Wasps19–29Saracens
Twickenham Stadium Attendance: 39,400 Referee: Sean Davey

2008

6 September 2008 14:30
London Irish26–14London Wasps
Twickenham Stadium Attendance: 52,087 Referee: Andrew Small
6 September 2008 17:00
Saracens21–24Harlequins
Twickenham Stadium Attendance: 52,087 Referee: Wayne Barnes

2009

5 September 2009 14:30
Saracens18–14London Irish
Try: Jackson Saull Con: Jackson Pen: Jackson (2)Try: Stowers Pen: Lamb (2) D. Armitage
Twickenham Stadium Attendance: 67,684 Referee: Dave Pearson
5 September 2009 17:15
London Wasps26–15Harlequins
Try: Varndell (2) Con: Van Gisbergen Pen: Van Gisbergen 3Try: Monye Camacho Con: Evans Pen: Evans
Twickenham Stadium Attendance: 67,684 Referee: Dean Richards

2010

4 September 2010 14:00
London Irish33–16Saracens
Twickenham Stadium Attendance: 75,112 Referee: Andrew Small
4 September 2010 16:30
London Wasps29–29Harlequins
Twickenham Stadium Attendance: 75,112 Referee: Chris White

2011

3 September 2011 14:00
London Irish24–29Harlequins
Twickenham Stadium Attendance: 55,437 Referee: Greg Garner
3 September 2011 16:30
Saracens15–20London Wasps
Twickenham Stadium Attendance: 55,437 Referee: JP Doyle

2012

1 September 2012 14:00
London Wasps40–42Harlequins
Twickenham Stadium Attendance: 63,102 Referee: Greg Garner
1 September 2012 16:30
Saracens40–3London Irish
Twickenham Stadium Attendance: 63,102 Referee: Wayne Barnes

2013

7 September 2013 14:00
London Irish20–42(BP) Saracens
Try: Low 37' c Yarde 69' c Con: Humphreys (2/2) Pen: Humphreys (2) 13', 62'Try: George (2) 9' c, 35' m Vunipola 63' c Ashton 81' m Con: Farrell (2/4) Pen: Farrell (6) 4', 27', 39', 41', 51', 72'
Twickenham Stadium Attendance: 62,637 Referee: Greg Garner
7 September 2013 16:30
London Wasps (BP)15–16Harlequins
Try: Launchbury 0' c Palmer 80' m Con: Goode (1/2) Pen: Goode (1) 13'Try: Dickson 70' c Con: Evans (1/1) Pen: Evans (3) 12', 45', 49'
Twickenham Stadium Attendance: 62,637 Referee: Tim Wigglesworth

2014

6 September 2014 14:00
Saracens (BP)34–28(BP) Wasps
Try: Ashton 6' c Strettle (3) 20' c, 62' c, 78' c Con: Hodgson (2/2) Farrell (2/2) Pen: Hodgson (2/3) 13', 18'Try: Hughes 43' c Wade (2) 53' m, 59' c Con: Goode (2/3) Pen: Goode (3/3) 10', 16', 26'
Twickenham Stadium Attendance: 66,164 Referee: Andrew Small
6 September 2014 16:30
London Irish (BP)15–20Harlequins
Pen: Geraghty (5/6) 24', 33', 42', 54', 66'Try: Monye 10' c Lindsay-Hague 34' c Con: Evans (2/2) Pen: Evans (2/6) 7', 27'
Twickenham Stadium Attendance: 66,164 Referee: Greg Garner

2015

The 2015 London Double Header was moved from its traditional Round 1 position, to Round 5, in order to accommodate the 2015 Rugby World Cup knock-out stage matches being played at Twickenham Stadium. It was also the first time since 2005 that Saracens, Harlequins, London Irish and Wasps have not all taken part in the event. Harlequins chose not to take part due to the proximity of The Big Game 8 and were therefore replaced by Worcester Warriors. There had been suggestions that Wasps would not take part, following their move to the Ricoh Arena, however they were announced as one of the away teams for the event at the fixture launch on 3 July 2015.

28 November 2015 15:15
Saracens (BP)48–18Worcester Warriors
Try: Ashton (2) 3' c, 51' c Spencer 21' c Wray 43' c Brits 55' c Ransom 62' c Con: Hodgson (6/6) Pen: Hodgson (2/3) 30', 39'Try: Rees 70' m Van Velze 79' c Con: Heathcote (1/2) Pen: Heathcote (2/3) 33', 37'
Twickenham Stadium Attendance: 42,680 Referee: Ian Tempest
28 November 2015 17:30
London Irish15–33(BP) Wasps
Try: Williams (2) 40' m, 56' c Con: Noakes (1/2) Pen: Noakes (1/3) 7'Try: Halai (2) 37' m, 74' m Daly 49' c Young 70' c Con: Jackson (1/2) Gopperth (1/2) Pen: Jackson (2/4) 4', 18' Gopperth (1/1) 54'
Twickenham Stadium Attendance: 42,680 Referee: Wayne Barnes

2016

The 2016 London Double Header returned to its traditional Round 1 position. London Irish had been relegated from the Premiership and therefore did not take part. Home teams were confirmed on 28 June, with away teams confirmed at fixture launch on 7 July.

3 September 2016 14:00
(1 BP) Saracens35–3Worcester Warriors
Try: George 44' c Lozowski 53' c Burger 56' c Spencer 78' m Con: Lozowski (3/4) 44', 53' 56' Pen: Lozowski (3/5) 15', 40', 42'Pen: Lamb (1/1) 25'
Twickenham Stadium Attendance: 47,029 Referee: Matthew Carley
3 September 2016 16:30
Harlequins21–19Bristol (1 BP)
Try: Yarde 39' m Marchant 41' c Con: N. Evans (1/2) 41' Pen: N. Evans (3/3) 24', 58', 65'Try: Varndell 21' c T. Pisi 27' c Edwards 42' m Con: Henson (2/2) 21', 27'
Twickenham Stadium Attendance: 47,029 Referee: Luke Pearce

2017

The 2017 London Double Header took place in its traditional Round 1 position. London Irish return after being promoted back into the Premiership. Home teams were confirmed on 22 June, with the away teams confirmed at the Premiership fixture launch on 7 July.

2 September 2017 14:00
(BP) Saracens55–24Northampton Saints
Try: Barritt 8' m Wigglesworth 11' c Maitland (3) 20' m, 31' m, 34' m Lozowski 28' c Koch 37' c Brits 51' c Spencer 67' c Con: Lozowski (5/9) 12', 29', 38', 52', 68'Try: Ludlam 43' c Wood (2) 55' c, 64' c Con: Mallinder (3/3) 44', 56', 64' Pen: Mallinder (1/2) 24'
Twickenham Stadium Attendance: 56,532 Referee: Craig Maxwell-Keys
2 September 2017 16:45
(BP) London Irish39–29Harlequins (BP)
Try: Ojo 23' c Bell 30' m Treviranus 56' m McKibbin 78' c Con: Bell (2/4) 24', 79' Pen: Bell (5/6) 4', 7', 37', 52', 75'Try: Marchant 34' c Yarde 63' c Care 72' m Walker 77' c Con: M. Smith (1/1) 34' Catrakilis (2/3) 64', 77' Pen: M. Smith (1/1) 15'
Twickenham Stadium Attendance: 56,532 Referee: Tom Foley

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