During World War II, Italy fought on the side of the Axis Powers under the leadership of the dictator Benito Mussolini. His regime fell, and the country surrendered to Allied forces after a crushing defeat. Italy was also the headquarters of the renowned firearms manufacturer Beretta.
The Romans and their penchant for war are mentioned in the intro to the game.
- Fallout 2
- Fallout 3
- The Soil Stradivarius (pronounced swal) was created by Antonio Stradivari in Cremona.
- In Point Lookout, the pre-War Colontoni's Pizzeria bears an Italian flag on the building (the flag has inverted colors).
- Fallout: New Vegas
- Caesar's Legion, a major organization in the southwestern United States, based their culture and society on the ancient Roman Empire, an old Italic civilization, and its leader based on Gaius Julius Caesar. The city of Rome and the Rubicon river are also referenced. The historic European region known as Gaul is mentioned as well, which encompassed parts of Northern Italy.
- The Ultra-Luxe plays music written by Antonio Vivaldi.
- Fallout 4
- Sal Barsconi, a pre-War mob boss, was of Italian descent.
- In Vault-Tec Workshop, the Sicilian espresso machine refers to the island of Sicily and the origination of espresso from Italy.
- Fallout 76
- The pre-War restaurants Little Italy and Graviano's Italian Eatery are Italian-themed diners, the former having a picture of Rome's Colosseum on its logo.
- The pre-War proprietor of Miller's Appliances at the Watoga Shopping Plaza managed to increase sales by programming his Mister Handy vendors to refer to all appliances in Italian.
- In Wild Appalachia, the Pioneer Scout archaelogist exam contains questions about the history of Pompeii and Sicily.
- Fallout Tactics
- Fallout Shelter
- Fallout: Brotherhood of Steel
- The 9mm M9FS Beretta was manufactured by the Italian Fabbrica d'Armi Pietro Beretta firearms company.
- The SPAS-12 was manufactured by the Italian Luigi Franchi società per azioni company.
- Van Buren
References to Italy, such as mentions, Italian products, and associated people appear in Fallout, Fallout 2, Fallout 3 and its add-on Point Lookout, Fallout: New Vegas, Fallout 4 and its add-on Vault-Tec Workshop, Fallout 76 and its update Wild Appalachia, Fallout Tactics, Fallout Shelter, and Fallout: Brotherhood of Steel.
- Watoga Shopping Plaza terminal entries; Manager's terminal, Rebranding
- Pioneer Scout camp terminal entries
- "Beretta 470 Silverhawk: A good looking Italian double barrel weapon. A low rate of fire, but potentially devastating if both barrels are fired together."