Shortly after the conclusion, in 332 BC, the Acerrani, in common with several other Campanian cities, obtained the Roman "civitas", without the right of suffrage.

After the expulsion of Hannibal from Campania, the Acerrani, with the consent of the Roman senate, returned to and rebuilt their city in 210 BC.

[5] During the war, it was besieged by the Samnite General, Gaius Papius Mutilus, but offered so vigorous a resistance that he was unable to reduce it.

[6] Virgil praises the fertility of its territory, but the town itself had suffered so much from the frequent inundations of the river Clanius, on which it was situated, that it was in his time almost deserted.

[7] It subsequently received a colony under Augustus,[8] and Strabo speaks of it in conjunction with Nola and Nuceria, apparently as a place of some consequence.

As part of the Kingdom of Naples, it was a domain of the Aquino, the Origlia, the Orsini del Balzo and, from 1496 until 1812, the Cardenas.

[11] From the 1990s to the 2000s, a waste management crisis broke out in the city as a result of illegal dumping by the Pellini brothers, Camorra members.

A 2004 study by Alfredo Mazza published in The Lancet Oncology revealed that deaths by cancer in the area are much higher than the European average.

Prime Minister Silvio Berlusconi ordered the troops to "return Naples to being a civilized city.

The Napoli Afragola Station was designed by Zaha Hadid Architects, constructed in 2017 with an area of more than 3000 square meters.

The Margherita pizza is especially consumed here because it was invented to represent the colors of the Italian flag, the red of the tomato, the green of the basil, and the white of the mozzarella cheese.

In late March, there was an incident in which a woman arrived in Acerra after travelling to Lombardy, which was the epicenter of the coronavirus outbreak in Italy.

After the issue was addressed by the mayor, residents of Acerra took to the streets in order to express that they wanted the woman to be removed from the town.

[26] There are many ways to travel around Acerra, in order to get from one major attraction to another, the typical modes of transportation include taxi, foot, bus, metro, or car.

When in the nearby city of Naples, many attractions are very close to one another, meaning travelling by foot is cheapest and recommended.

Finally, cars, this type of transportation is not all too common among travelers due to the fact that it is necessary to get an international driving permit in order to operate a vehicle in Italy.

In Acerra, a major factor contributing to the crime is the fact that more than a quarter of the children in the town are not enrolled in school.