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Sampdoria became the next club for Maresca after his time at Olympiacos. He joined the Italian Serie A side in 2016, where he spent two seasons before moving on to Palermo. Maresca's time at Sampdoria was marked by consistent performances and contributions to the team's midfield. He played a crucial role in helping the club secure a mid-table finish in both seasons, showcasing his tactical awareness and passing abilities.