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Italian horror has had some interesting titles in recent years, though not exactly at the level of the classics from the '70s and '80s.
"Terrified" by Damiano Russo was pretty well-received - it's got that psychological tension that works well without relying solely on jump scares.
If you're looking for something more recent, it kind of depends on what you're into: if you want eerie, slow-burn atmosphere, you'll find more solid stuff than films that just rely on loud sound effects.
Honestly, the current Italian landscape is a bit fragmented, not like it used to be, so you gotta dig around a bit through independent titles and streaming productions to find things that really are worth your time.
If you want to discover new stuff without getting lost in the same old titles, try searching on platforms like MUBI or online festivals like Trieste Science+Film that often give space to less mainstream Italian directors. Beyond "Terrified" that they've already mentioned, there have been quite a few interesting experiments in body horror and psychological genres over the last few years, even from authors who don't have international visibility. The smart move is to check the Italian sections of festivals directly rather than waiting for them to go viral on Netflix, because that's where you find really everything before word of mouth discovers them.
Don't let anyone tell you that Italian horror is dead, because there's still interesting stuff out there - last year I ended up watching "La provincia del disagio" almost by chance and it really surprised me, it's one of those films you don't see advertised everywhere but that really deserves your attention.
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