The Regions of Italy There are 20 Italian Regions: 5 with special autonomy for ethnic, historical and peripheral reasons Valle d'Aosta Trentino Alto Adige Friuli-Venezia Giulia Sardegna Sicilia and 15 with ordinary autonomy Piemonte Lombardia Veneto Liguria Emilia-Romagna Toscana Umbria Marche Lazio Abruzzo Molise Campania Puglia Basilicata Calabria