With a trend that remains stable compared to 2023, large cities do not rank well in quality of life. With the exception of Bologna (14th) and Florence (33rd), the large cities all rank from mid-table downwards: 45th place for Milan, 98th place for Rome, and Naples and Palermo also do badly.

In a win for northern Italy, first place for the quality of life offered to the elderly is Trento; in second place Como, third Cremona. Lodi, Treviso, Vicenza, Padua, Verona and Bolzano are also in the top 10; all are in the north of Italy.