Although people often associate hill towns with Tuscany, the neighboring region of Umbria has its fair share of picturesque medieval towns perched on hills. Most of these hill towns still have medieval, or even Etruscan, walls surrounding the old town and stunning views of the countryside below and Etruscan or Roman remains.

Orvieto
Orvieto is one of the easiest hill towns to visit as it has a train station just below the old center and easy access from the A1 autostrada. The town makes a stunning sight, dramatically perched on a cliff. Orvieto’s top sight is its 14th century cathedral, with its shiny mosaic facade. One unusual sight is Saint Patrick’s Well, with double spiral staircases that run along the sides of the well without meeting.