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.