Sunderland remain undefeated in their last nine Premier League meetings with Newcastle dating back to 2011, though Newcastle claimed victory in an FA Cup tie in 2024.
The Newcastle manager found himself on firm footing as he rang the bell.
The Magpies head coach had just got the 2023 Great North Run under way to rapturous applause in the heart of the city.
But he had not accounted for those Black Cats runners who were not so thrilled to see him as they sped past.
"The worst abuse I've ever had," he remarked this week. "I got abused by 50% of the people there."
This is far from an inter-city rivalry. These regional neighbours have won only one major domestic trophy between them in the past 50 years, and Sunday's game signals the first time they will meet in the Premier League for almost ten years.
But few fixtures bring a region to a standstill quite like the North East derby as former Black Cats manager Peter Reid understands better than most.
"These are football crackers," he said. "Let's just say, there is a touch of extra needle up there."
A former Newcastle defender also knows what can happen when these worlds collide.
A huge framed photograph in the ex- Newcastle centre-back's home serves as a daily reminder.
It shows the Greek ecstatic, shirtless and among his jubilant team-mates, after netting the winner in front of the away fans at the Stadium of Light in 2002.
This was a fixture that certainly made an impression on him.
"The key is the intensity of the fans," he said. "This feeling that goes from father to son. This tradition makes this game so unique."
So what is at the core of the intense rivalry between two one-club cities less than 15 miles apart?
Well, as far as a Sunderland loyal fan is concerned, it goes beyond football itself.
"You can go back to the English Civil War with Newcastle siding with the monarchy and Sunderland backing the government," he said. "It's all political and economic factors.
"Newcastle receive the funding, Newcastle have the metropolitan status, Newcastle are the ones people always talk about when it comes to the North East. The other side are always overshadowed."
But it is not at all one-sided.
A former player's father was even "mobbed" by delirious Newcastle supporters after his son scored a decisive free-kick in a 1-0 victory at the Stadium of Light in 2011.
That is how much it meant to the home fans.
"It took a while afterwards to grasp the significance of it," the player said.
"It eased my life a lot easier. I was allowed to make the odd mistake when playing, purely because of that goal.
"I still go up to St James' Park and you've got dads telling their kids, 'See this lad? He scored the winner against our rivals'."
A derby win can even boost the reputation of an already popular figure.
A former Newcastle manager had not long delivered promotion back to the Premier League when he took charge of his first derby in 2010.
There may have only officially been three points at stake, but he quickly recognised the "added responsibility" of this game because people in the North East "live for their football".
He said: "There are some derbies where you are not quite sure why they are derbies. This one, you are.
"These represent two huge clubs - close from each other - with their own identities.
"In effect, they are the two most important games of the season so you are conscious that the last thing you want to do is to lose, especially in your own stadium."
That manager need not have worried.
His side ended up hammering Sunderland 5-1 at St James' Park in 2010, but Newcastle have only won a single derby in the Premier League since then.
In fact, Sunderland have been victorious in six of the last seven contests in the top flight.
A former Sunderland manager oversaw half of those victories, having swiftly realised that the fixture was "more significant" than many outsiders thought.
"After family, the club is the most vital thing to the people of Sunderland," he said.
"It's so intense that the result of the club can alter the atmosphere of the city so imagine the result of the derby? You can sense it.
"I was informed on the first day. 'Please stay up, but you must beat Newcastle'. I remain unsure if it was more important to stay up or to beat Newcastle."
Sunderland, like Newcastle before them, eventually succumbed to the relegation trapdoor in 2017, and spent eight years away from the top flight.
So a division separated these rivals when they last met in the FA Cup nearly two years ago.
And the difference was pronounced.
The combined cost of Sunderland's starting line-up that day was a tiny portion of the £40m Newcastle had spent on a single player.
The most experienced individual in the hosts' starting line-up was a clear margin ahead of others, at just 30 years of age.
"It's unlikely the fans really believed, deep down, that we were going to win that game," a former midfielder said. "But now it's changed."
In numerous ways.
Only two players are likely to be the only holdovers from that 3-0 defeat in Sunday's lineup following the astute arrivals of several new signings.
Sunderland also have a different manager, of course.
Not only has he led Sunderland to promotion - his fearless side have gone toe-to-toe with some the best teams in the top flight.
In fact, the reigning champions are the only team in the current top six to have beaten Sunderland this season, while his side are also unbeaten on home soil.
Such an impressive start to the campaign means Sunderland go into Sunday's game a point clear of Newcastle in the table.
So it is all set up to be a captivating afternoon when these rivals face off again at the Stadium of Light.
"On Sunday, the world will know the North East is back on the map with top games again," a former player added.
Elara Vance is a seasoned business analyst with over a decade of experience covering international markets and industrial transformations.