Italy has a cameo in the official "Bad End" of Noto-sama 5 dressed in a toga and addressing the player.However, he is attacked and stripped offscreen by a vengeful Noto.
He later appears in Osōji Prussia asleep in his bed when Prussia arrives to offer to clean his house.
Prussia then strokes Italy's head and imagines the two of them on a gondola in Venice.
Italy refuses, citing his grandfather's painful battle scars, as he does not want to see Holy Rome attacked in such a way.
Chibitalia later encounters Holy Rome as he prepares to leave, and he becomes upset and gives Holy Rome his underwear (often at the center of their mishaps) to remember him by.
Italy also has a habit of abandoning training, in one case to play with a stray cat, though he is always dragged back by Germany.
When Germany begins to put in place an alliance with Russia, Italy begins to worry that his friends will abandon him in favor of a stronger ally.On the day Russia arrives to meet with Germany, Italy plans to lurk outside to see what kind of guy Russia is, though he ends up stripping and taking a siesta when the clock strikes 3.When Italy wakes up, he immediately rushes inside and forgets to put in his pants, flashing Russia and the other visiting nations.Germany yells at him for his behavior and gives him his pants to wear, though Russia seems to take delight in the chaos.Italy later shows up as Germany, Austria and Russia prepare to mobilize and invade Poland.When Germany meets with Japan to formalize their alliance, Italy flirts with the local girls then falls asleep underneath a heated kotatsu table.