The Spain defender headed home deep into added time in Norway on Tuesday to save his side from defeat to Sevilla in the UEFA Super Cup, just as he had done with his epic late leveler in the Champions League final two years ago. It is becoming a habit.
The header in Lisbon arrived after 92 minutes and 48 seconds and helped Madrid secure something the club had been seeking for more than a decade: La Decima. And in similar circumstances came the equalizer in Trondheim - with 92:34 on the clock. A sense of deja vu for player and club.
"Once again in the last second," Ramos said afterwards. "But when you search for something, you get it. Some people might say, 'it's a tap-in'... but you have to be there."
Ramos was there. He often is. With Madrid trailing and the seconds ticking away, coach Zinedine Zidane had instructed his skipper to push forward and the decision reaped reward right at the death.
"I told Ramos to push up a bit towards the end and he was exactly where he needed to be," Zidane said. "He is our captain, he is an important player and he always makes the difference."
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Yes, he makes mistakes - and he gave away the penalty (perhaps unfortunately) which saw Sevilla take the lead in the first place. But he redeemed himself in some style and also saw another goal ruled out controversially in extra time. He never ever gives up - and such a player is invaluable to a team like Madrid.
"I would have preferred Ramos to have scored a bit earlier," president Florentino Perez joked afterwards. "I'm a bit too old for this suffering!"
It was another reminder to the club chief of his captain's enormous worth - and it seems incredible now that the construction magnate almost let the player leave amid stubborn contract negotiations last summer, having gone back on his pay promise after Ramos' previous heroics in the final in Lisbon.
Real reached that showpiece fixture by beating Bayern Munich 4-0 at the Allianz Arena (and 5-0 on aggregate). But having taken a slender 1-0 lead to Germany, it was Ramos who scored twice to give Madrid the upper hand before Cristiano Ronaldo added two more in a memorable victory.
In the final itself, Atletico took an early lead following a mistake by Iker Casillas and Madrid huffed and puffed for the remainder of the match, but could find no way past the Rojiblancos' disciplined defense. Not until Ramos headed home from a Luka Modric corner after 92:48. In extra time, Los Blancos went on to win it - just as they did on Tuesday.
That Champions League win qualified Madrid for the Club World Cup in December 2014, and again Ramos played a pivotal part en route to yet another trophy as he scored the opener in a 4-0 win over Mexican side Cruz Azul in the last four and then netted the first goal in the final against San Lorenzo in a 2-0 victory.
A year and a half went by before Real reached another final, but when the club did, up popped the defender again to score from close range in Milan against Atletico. The match ended 1-1, but Zidane's men prevailed on penalties and Ramos scored the fouth spot kick in the shootout before Juanfran missed and Ronaldo converted to seal an 11th European Cup - La Undecima.
That was in May. Now, in August, Ramos was there once more - just as he has been in all of the important games for his club of late. Gone are the times when he is remembered for dropping the cup after a final. These days, his contribution is much more important than that - and Madrid fans will hope he continues in the same vein for many more years to come.