Back in the Premier League, Bettinelli made his top-flight debut in a 4-2 victory against Burnley in August 2018, the start of a run of seven straight league starts. The first international break of the season saw the goalkeeper’s form rewarded with a call-up to Gareth Southgate’s England squad, an achievement he repeated the following month in October, albeit without making an appearance for the Three Lions.
Yet after a promising start to the season, six games without a win meant Sergio Rico took the gloves for the remainder of the campaign. The Whites only won seven league games and received an immediate return ticket to the Championship.
A further 14 appearances followed in 2019/20 as injury disrupted his flow once again before he spent last season on loan at Middlesbrough, making 42 appearances and keeping 13 clean sheets for a side that finished 10th in the second tier.