There have been very few studies investigating the rough wall pressure spectra under fully rough flows, which are relevant to many common engineering applications operating within this regime. This investigation uses the Virginia Tech Stability Wind Tunnel to perform experiments on a series of high Reynolds number zero pressure gradient turbulent boundary layers formed over rough walls in an effort to better understand and characterize the behavior of the rough wall pressure spectrum. The boundary layers were fully rough, and the boundary layer height remained sufficiently larger than the height of the roughness elements. Two rough surfaces were tested. One consisted of an array of 1-mm ordered hemispherical elements spaced 5.5-mm apart, and the other contained 3-mm hemispherical elements randomly spaced, but with the same element density as 1/3 of the 1-mm ordered roughness. The wall pressure spectrum and its scaling were then studied in detail, and it was found that the rough wall turbulent pressure spectrum at vehicle relevant conditions is defined by three scaling regions. One of which is a newly discovered high frequency scaling defined by viscosity, but controlled by the friction velocity adjusted to exclude the pressure drag on the roughness elements. Based on these three scaling regions an empirical model describing the wall pressure spectra for hydraulically smooth, traditionally rough, and fully rough flows was explored. Two point wall pressure fluctuations were also analyzed for each surface condition, and it was found that the roughness inhibits the convective velocities within the inner portions of the boundary layer.