Spain vs Italy for Expats

Spain vs Italy: Overview

Spain and Italy are among the most compared destinations for expats, digital nomads, and retirees considering a move abroad. In WhereNext's data-driven ranking of 95 countries, Spain sits at #22 while Italy ranks #33 overall. Both countries have distinct strengths that appeal to different relocation priorities.

As Southern Europe neighbors, they share some cultural overlap, but differ meaningfully in cost of living, safety, and infrastructure. Here's how they compare across the seven dimensions that matter most when choosing where to live.

Cost of Living Comparison

Spain has a cost index of 60/100 (moderate), translating to roughly $2,200/month for a single expat. Italy comes in at 63/100 (moderate), or about $2,300/month.

The cost difference is relatively small (about $100/month), meaning the decision between these two destinations will likely come down to lifestyle preferences, climate, and visa accessibility rather than budget alone.

Safety & Security

Spain scores 77/100 on safety (safe), while Italy scores 74/100 (safe). Spain has a slight edge over Italy in safety.

Both countries offer comparable safety for expats. As with any relocation, safety varies by city and neighborhood, so research specific areas within each country for the most accurate picture.

Healthcare Quality

Healthcare quality is a critical factor for anyone relocating long-term. Spain has a healthcare index of 84/100 (strong), compared to Italy's 82/100 (strong). Both countries score nearly identically on healthcare.

Spain: A highly robust, decentralized public model (SNS) managed by autonomous communities. Immigrants on non-lucrative visas must initially hold comprehensive private coverage, which is very affordable. Italy: Regionalized public system (SSN) with striking differences between the efficient North and the underfunded South. Private care is cheap and accessible.

Career & Infrastructure

For those who need to work locally or run a business, career prospects matter. Spain scores 73/100 while Italy scores 70/100 on career opportunity. Spain has a slight edge over Italy in career opportunity.

Infrastructure also plays a role in daily quality of life. Spain (82/100, world-class) leads Italy (78/100, well-developed) in this category, which covers internet speed, public transit, and digital readiness.

Lifestyle & Climate

Climate can make or break a relocation decision. Spain scores 80/100 (highly favorable) while Italy scores 76/100 (pleasant).

Language accessibility also varies: Spain rates 50/100 for English proficiency, versus Italy's 50/100. Italy is generally easier for English speakers to navigate day-to-day.

Key lifestyle advantages: Spain is known for world-class public healthcare, exceptional rail network (ave). Italy stands out for unbelievable food, art, and history, the 'dolce vita' lifestyle.

Visa & Immigration Paths

Visa friendliness is often the deciding factor for expats. Spain scores 76/100 while Italy scores 72/100. Spain has a slight edge over Italy in visa accessibility.

Spain offers visa paths including Digital Nomad Visa, Non-Lucrative Visa. Italy provides Digital Nomad Visa, Elective Residence. For US and EU passport holders, the specific requirements differ — use our Visa Checker tool for personalized access details.

Bottom Line: Which Should You Choose?

Choose Spain if your priority is affordability. Choose Spain if safety comes first. For healthcare, Spain has the edge, while Spain offers stronger career opportunities.

Ultimately, the right country depends on your unique priorities. Take our personalization quiz to get a ranked recommendation tailored to your lifestyle, budget, and goals — or explore both country profiles in depth using the links above.