Things To Do
in Acqui Terme

Acqui Terme is a historic spa town in Piedmont renowned for its thermal waters and elegant Belle Époque architecture. Nestled in the Bormida river valley, it is framed by rolling Monferrato hills and vineyards. The city blends Roman-era roots with a charming medieval core, making it a compact hub of wellness, culture, and cuisine.

Visitors can soak in warm waters, stroll atmospheric lanes, and savor local wines and Piedmontese dishes.

Day Trips

Spend a day exploring around

day 1
Exploring Historic Center
morning
:

Start your day with a leisurely breakfast at a local café, savoring fresh pastries and espresso. Afterward, wander through the charming streets of Acqui Terme, admiring the medieval architecture and vibrant storefronts. Don’t miss the iconic Cattedrale di Santa Maria Assunta, where you can explore the stunning interior and learn about its history.

afternoon
:

Enjoy a delightful lunch at a traditional trattoria, sampling local specialties such as agnolotti and barbera wine. Post-lunch, visit the archaeological museum, where ancient Roman artifacts and exhibits will provide insight into the town’s rich past. Stroll along the picturesque streets, stopping by artisan shops and enjoying the local craftsmanship.

evening
:

As the sun begins to set, relax at the thermal baths for a rejuvenating soak in the mineral-rich waters. After your spa experience, head to a nearby restaurant for dinner, where you can enjoy a hearty meal paired with exquisite local wines. Conclude the evening with a leisurely walk through the illuminated streets, soaking in the enchanting atmosphere of Acqui Terme.

day 2
Thermal Spa Indulgence
morning
:

Begin your day with a hearty breakfast at your accommodation, fueling up for a day of relaxation. Visit the famous Terme di Acqui, where you can enjoy a morning of wellness treatments including mud baths and massages. Immerse yourself in the healing waters that have made this town renowned for its spa culture.

afternoon
:

Savor a light lunch at the spa's café, featuring healthy options and refreshing drinks. After lunch, indulge in additional spa treatments or take a dip in the outdoor thermal pools, surrounded by beautiful gardens. Consider participating in a wellness workshop or yoga class to enhance your relaxation experience.

evening
:

As evening approaches, enjoy the serene ambiance of the spa before heading out for dinner. Choose a cozy restaurant nearby that specializes in regional cuisine, where you can indulge in dishes made with fresh, local ingredients. Unwind with a glass of wine as you reflect on your rejuvenating day.

Cost Guide

Prices

ItemPrice
🍝Meal at inexpensive restaurant$15-25
Coffee or espresso$2-4
🏨Mid-range hotel per night$100-180
🚆Public transit day pass$5-7
🧀Local snack or pastry$4-8

Strengths and Weaknesses

  • Thermal baths and wellness heritage
  • Picturesque historic center and hillside views
  • Excellent regional cuisine and wines
  • Compact and walkable town
  • Limited nightlife and late-evening entertainment
  • Some services concentrated in high season
  • Parking can be challenging in peak times
  • "Buongiorno" - Good morning
  • "Per favore" - Please
  • "Grazie" - Thank you
  • "Mi scusi" - Excuse me
  • "Dove è...?" - Where is...?

Places to Visit in Acqui Terme

Visit one of these nice places.

La Bollente

Central hot spring fountain in the main square, creating atmospheric steam against historic façades.

Collegiata di Santa Maria Assunta

Impressive cathedral with a Romanesque facade and ornate interiors, a cornerstone for architectural photos.

Piazza Italia and Historic Core

Arcaded streets and pastel façades provide charming street photography opportunities, especially at golden hour.

Monferrato Vineyards

Rolling hills with cypress lines and vineyard panoramas, ideal for landscape shots at sunrise or sunset.

Culinary Guide

Food in Acqui Terme

Piedmontese cuisine is hearty and wine-forward, featuring pasta, mushrooms, and braised meats. In Acqui Terme you’ll find regional specialties alongside the town’s spa culture and locally produced wines, notably Barbera and Dolcetto. Expect seasonal ingredients, slow-cooked dishes, and desserts like Bunet. Pair meals with local mineral waters or a glass of Nebbiolo from nearby vineyards.

Acqui Terme Famous Food

Signature dishes, delicacies and famous food

Agnolotti del Plin

Small folded pasta stuffed with meat, typically served with butter and sage or a hearty ragù.

Must-Try!

Tajarin al Tartufo

Thin egg pasta tossed with white truffle shavings, a Piedmontese seasonal specialty.

Brasato al Barolo

Beef braised slowly in Barolo wine, yielding a rich, aromatic dish.

Bunet

A dense chocolate and hazelnut pudding, a beloved Piedmont dessert.

Food Markets

Explore local food markets

Mercato di Acqui Terme

Weekly market in the historic center with seasonal produce, cheeses, cured meats, breads, and local specialties.

Street Food Highlights

Gelato stands and light bites around La Bollente and in the central squares—great for a casual snack while sightseeing.

Climate Guide

Weather

Acqui Terme experiences a temperate climate with four seasons: hot summers and cool winters. Spring and autumn are mild with changing foliage; rain is fairly common in shoulder seasons. The surrounding hills provide refreshing breezes in the warm months.

How to Behave

Tips on cultural norms and respectful behavior

Greetings

Greet with 'Buongiorno' (good morning) or 'Buonasera' (good evening); maintain a polite, relaxed tone in conversations.

Religious sites

Dress modestly when visiting churches; keep voices low and speak softly inside sacred spaces.

Dining and queues

Eat at a reasonable pace, wait for everyone to be served before starting, and avoid loud behavior in public spaces.

Safety Guide

Safety

Acqui Terme is generally safe for travelers. Practice common-sense safety in crowded areas to prevent pickpocketing; be cautious around La Bollente when wet or slippery; keep valuables secure when visiting markets.

Tipping in Acqui Terme

Ensure a smooth experience

Tipping Etiquette

Service charges are not always included; rounding up the bill or leaving 5-10% for excellent service is appreciated in many establishments.

Best Time to Visit

And what to expect in different seasons...

Summer

Warm to hot days with pleasant evenings; stay hydrated and plan outdoor activities for early mornings or late afternoons; occasional thunderstorms possible.

Autumn

Pleasant temperatures and harvest season in the wine country; ideal for scenic drives and winery visits.

Winter

Cool to chilly, with the allure of spa facilities and hearty indoor dining; light snow is possible in the hills.

Spring

Mild temperatures and blooming landscapes; perfect for walking tours and gentle hikes.

Nightlife Guide

Acqui Terme at Night

The nightlife in Acqui Terme is typically relaxed and café-centered. Expect wine bars, small pubs, and occasional live music around the historic center. Clubs are rare, and evenings are often spent strolling the squares, enjoying gelato, or unwinding after a spa day.

Hiking in Acqui Terme

Immerse in an unforgettable hike.

Colline del Monferrato trails

Scenic trails through rolling hills and vineyards surrounding Acqui Terme, ideal for day hikes.

Bormida river valley routes

Waterways and forest paths offering varied hikes with river views.

Airports

How to reach Acqui Terme by plane.

Genoa Cristoforo Colombo Airport (GOA)

Approximately 90-140 km away by road; accessible by highway and rail connections.

Turin-Caselle Airport (TRN)

About 120-170 km away; frequent trains and car routes through Piedmont.

Milan Malpensa Airport (MXP)

Around 170-200 km away; major international hub with rail links to northern Italy.

Cuneo Levaldigi Airport (CUF)

Nearby in the Cuneo area, with regional flights and ground transport connections.

Getting Around

Walkability

Acqui Terme’s historic center is compact and highly walkable, with most sights within a short stroll. Pedestrian-friendly zones enhance the feel of the town, while the surrounding hills are best explored by car or bike.

Demographics

Explore demographics in this area.

Local residents

Long-standing families and retirees form a large portion of the population.

Students and visitors

Temporary residents for study, spa visits, or tourism.

Popular Sports

Explore popular sports in region.

Football (soccer)

Very popular among locals; clubs and school leagues in nearby towns.

Cycling

Hilly routes around the Monferrato area draw road cyclists and enthusiasts.

Tennis

Public courts and local clubs offer opportunities for tennis lovers.

Transportation

Traffic

Traffic is light in the historic center, with some restrictions on cars in peak hours. Rail connections link Acqui Terme to nearby cities; parking can be tight near main sights, but public lots are available outside the center.

Accomodations

Find the best place to stay when visiting Acqui Terme.

Dietary Restrictions

Tips for restricted diets.

Vegetarian

Many Piedmont dishes can be adapted; look for pasta, polenta, mushrooms, and vegetable-based plates; request ovo-lacto options and clarify broths.

Health & Medical

Healthcare

Healthcare in Acqui Terme relies on local clinics and hospital services in Alessandria or nearby towns. EU residents can access emergency services with their health cards. Pharmacies are widespread, and many doctors speak some English in larger clinics.

Discover Italy

Read more in our Italy 2025 Travel Guide.

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