An absorbent article processing device includes a cutter roll and an anvil roll. The cutter roll includes a roll main body; a blade protruding in a radial direction in a first angular range of a part of a circumferential direction of the roll main body; a first bearer protruding in the radial direction in a second angular range of a part of the circumferential direction including at least the first angular range and being in contact with the anvil roll, and being cut out in an angular range excluding the second angular range at a first end portion in an axial direction of the roll main body; and a second bearer provided around the entire circumference or a part of the circumferential direction and being in contact with the anvil roll at the second end portion in an axial direction of the roll main body.