Álvaro Leonel Ramazzini Imeri

Cardinal Ramazzini is reported to oppose abortion, the death penalty and same-sex marriage, according to a secondary profile citing a National Catholic Reporter quote. In a May 2025 interview he said that many critics of Fiducia Supplicans had not read the whole document. He has spoken far more often on social questions than on sexual morality.

No public statement by Cardinal Ramazzini on the traditional Latin Mass or Traditionis Custodes has been found. In an April 2025 interview he said bridges to traditionalists are important but require the willingness of all sides.

Cardinal Ramazzini has long been a public advocate for migrants, Indigenous peoples and the environment. He became president of the Church's Clamor network for migrants and refugees in 2023, called US migration policy inhumane in 2019, and in March 2026 spoke at the launch of a mining divestment platform, citing Laudato Si' and describing mining concessions on Indigenous land in Guatemala. Critics have called him a communist and he has said he will not abandon his positions.

Created a cardinal by Pope Francis in 2019, Cardinal Ramazzini said in April 2025 that he wanted the conclave to continue Francis's reform course and that he saw it as his personal responsibility to defend and advance Francis's teaching. In a 2023 interview he called the Synod a concrete sign of the pope's openness, and said that loyalty to the pope is compatible with respectful counsel, recounting a private letter to Francis about a doctrinal document.

Cardinal Ramazzini led the ecumenism and interreligious dialogue section of CELAM from 1991 to 1995 and served on the Pontifical Council for Interreligious Dialogue from 1991 to 1996. In a 2023 interview he highlighted a Fratelli Tutti seminar that brought together people of other religions, and tied this to the openness of Vatican II.

Cardinal Ramazzini speaks directly and often to the media. In 2019 he said 'what I say is based on what I experience' and that he would not abandon his positions as a cardinal; he gave interviews to international outlets around the 2025 conclave, and has headed the Guatemalan bishops' commission for social communications.