In Italy, little is known about the roles, activities, and compensation of medical writers and scientific communicators. A survey, tailored to local aspects and regulations, was conducted to capture a contemporary snapshot of the medical writing profession in Italy. Most of the 68 respondents were female (84%), with the most common age category being 40–49 years (38%). Both Italian (78%) and English (78%) were commonly used for work. Despite gross annual salaries (mean €45,860) being lower than those of European colleagues, overall professional satisfaction was high (72% reported being satisfied or very satisfied with their work). Medical writing certification was uncommon (16%), but 37% of respondents were affiliated with the European Medical Writers Association (EMWA). The results highlight the need for local efforts to address professional recognition and training needs, with the crucial support of EMWA.   Medical Writing. 2024;33(3):62–70. https://doi.org/10.56012/zgzn6726