Rocco is an Italian name that goes back to the Germanic word hrok, usually explained as "rest" or "repose". Saint Roch, a 14th-century pilgrim invoked against the plague, spread the name across Catholic Europe, and in America it has a warm Italian American flavor, boosted when Madonna named her son Rocco in 2000. Rocco entered the US top 1000 in 2001, peaked at number 385 in 2009 and ranks number 459 in 2025.