[4] She toured internationally from 1908 to 1910 with dancer Loie Fuller,[5] including a show at the Metropolitan Opera in 1910,[1][6] and a dance about women's suffrage set to the music of Edvard Grieg, performed at the New Theatre, also in 1910.

[7] She also ran a dance school in Berlin from 1916 to 1918,[8] with students including Rahel Sanzara, Anita Berber, Hansi Burg, and Valeska Gert.

[10] She was known for developing a style called tanzbilder, which involved novel dance interpretations of great works of art, with remarkable costumes designed by Sacchetto herself.

[11][12] Caroline V. Kerr of Theatre magazine described Sacchetto in 1909 as "wholly human, of fascinating naiveté, captivating in her exuberance of temperament, in her grace and charm.

[14] At the peak of her dance career, she was a frequent guest of European royalty, including Queen Margherita of Savoy, Nicholas II of Russia's family, and Alfonso XIII of Spain.