As a collegiate athlete for Ohio State University, he's a four-time NCAA Division I All-American, and two-time Big Ten champion.

During his time at Nazareth High School, Sammy Sasso established himself as a notable wrestler with a strong track record marked by skill and consistency.

[2] During his Redshirt (college sports) year Sasso accumulated a record of 19-2 with six pins, four technical falls, and a major decision, resulting in a 58% bonus rate.

[2] Sasso's achievements extended to winning the UWW Junior Freestyle National Championship (70 kg), earning him a place in the World Team Trials.

[2] During Sasso's first year starting for Ohio State, he was named Wrestler of the Week by the Big Ten Conference and USA Wrestling after beating No.

[2] In the post-season, he reached the title bout of the Big Ten Wrestling Championships, finishing second after a loss to Pat Lugo of Iowa University in a 2-1 decision.

[2] His crowning achievement of the season came when he earned his first Big Ten title in the 149-pound weight class against Ridge Lovett of Nebraska.

After beating all opponents to reach the title bout, Sasso wrestled Austin O'Connor of UNC in the finals.

[6] In the final moments a scramble led to what looked like a winning takedown by Sasso right at the edge of the mat as time ran out.

[2] Additionally, Sasso performed strongly at the Cliff Keen Invitational, earning a second-place finish with a 3-1 record.

[2] Sasso won the 149 pound bracket at the 2022 Cliff Keen Invitational in Las Vegas and was named The Outstanding Wrestler of the 2022 tournament after finishing with a 5-0 record.

[12] After suffering severe injuries, Sasso was rushed to Ohio State University Wexner Medical Center where he immediately underwent surgery to reconstruct his colon.

[12][13] The next day, August 19, 2023 Sasso underwent another surgery to remove the bullet, which had lodged near his spine causing severe nerve damage.

[14] After spending 41 days in the hospital, Sasso was released, immediately returning to visit his Ohio State teammates.