This is a list of town tramway systems in Italy by region. It includes all tram systems in Italy, past and present; cities with current operating systems, and those systems themselves, are indicated in bold and blue background colored rows. The use of the diamond (♦) symbol indicates where there were (or are) two or more independent tram systems operating concurrently within a single metropolitan area. Those tram systems that operated on other than standard gauge track (where known) are indicated in the 'Notes' column.

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• List of town tramway systems in Europe
• List of trolleybus systems in Italy
• List of tram and light rail transit systems
• List of metro systems