[4][5] After spending a year with the Juventus academy, returning homesick saw him offered the opportunity from his former national youth team coach Tony Taylor to join Birmingham City for £25,000 in November 1992.

Four days later, Peschisolido scored just nine minutes into his Albion league debut, as the Midlands side ran out 2–0 winners at Queens Park Rangers.

[13][14] He appeared 37 times for 'the Cottagers' in the 1997–98 season, scoring 13 goals, before helping the team win promotion as Division Two champions the following year.

[6] In the play-off semi-final against Nottingham Forest, Sheffield United came back from a two-goal deficit to take the game into extra time.

Peschisolido came off the substitutes' bench at the midpoint of added time to score the goal that took the lead, which is remembered not just for its impact on the game but also for the player's frantic celebrations afterwards.

[25][26] In March 2004, Peschisolido joined Derby County in a swap deal, with Izale McLeod moving to United on loan for the rest of the season.

[27] Once again he scored on debut, contributing four goals in his first three appearances, including two against local rivals Nottingham Forest, one of which was gifted to him by goalkeeper Barry Roche, who sliced an attempted clearance after the ball deflected off a plastic coffee cup on the pitch.

[citation needed] By this time, he had accumulated 447 Football League appearances and 118 goals over 16 years, predominantly in the second tier of English professional soccer.

He made his senior national team debut for Canada on 13 June 1992 in a match against Hong Kong at Varsity Stadium where he scored his first international goal.

Peschisolido formed effective striker partnerships for Canada with Alex Bunbury and Carlo Corazzin over their years with the national team.

Peschisolido scored the majority of his international goals between 1995 and 1996 at Commonwealth Stadium that included a number of World Cup qualification matches which led to the venue becoming lovingly nicknamed St. Paul's Cathedral amongst the Canadian fans and press.