Piedmont · Alessandria
Acqui Terme
A Roman spa town on the Bormida, where a sulphurous spring still surfaces at 74.5 degrees under an 1870 pavilion.
Known for
LA BOLLENTE
Sulphurous spring rising at 74.5 degrees in the central piazza, the same waters that drew the Romans to Aquae Statiellae.
ROMAN AQUEDUCT
Fifteen pillars and four arches across the Bormida, one of the best preserved imperial aqueducts in northern Italy.
BRACHETTO
Brachetto d'Acqui DOCG, a sparkling red dessert wine produced from at least 97% Brachetto grapes on the surrounding Monferrato hills.
PROTECTED PRODUCTS
The commune also lies inside the Alta Langa DOCG, Asti DOCG, Barbera d'Asti DOCG and Toma Piemontese DOP production zones.
When to visit
Best · All year
- J
- F
- M
- A
- M
- J
- J
- A
- S
- O
- N
- D
- Best
- Hot or crowded
- Quiet
- Mostly closed
The festa: Guido d'Acqui, seconda domenica di luglio
Why come
Acqui Terme sits fifty kilometers north of Genova, in the southern Monferrato hills, on the Bormida river. The Romans built their settlement here around hot sulphur springs that Pliny the Elder rated among the best in the empire, and the town's shape still follows that founding logic: baths and spring at the center, the aqueduct running out to the valley, the castle set above on higher ground where the Marquises of Monferrato later took the high point for defense. The old town gathers close around the piazza where the water surfaces; the castle and its museum sit apart and above, holding what was dug up from the baths, theatre and amphitheatre below.
The surrounding hills, meanwhile, grow the grapes for Brachetto d'Acqui DOCG, a low-alcohol sparkling red, and the town holds three separate designations at once: Spighe Verdi, Comuni Termali, Città del Vino. The thermal trade runs year-round while the wine and the hills set the pace for everything else, so the town reads as two economies sharing one square: water pulled from the ground below, and wine brought down from the slopes above.
The Sunday letter
We haven’t written Acqui Terme’s letter yet.
One town every Sunday, with the photo, the food, the festa. Be there when this one comes up. Free, by Peter & Sophia from Pietrasanta.


What to see
Acquedotto Romano
The structure originally carried water 13 km from the Erro stream to feed the baths of Aquae Statiellae, and still spans the valley floor intact.
La Bollente
Octagonal marble pavilion designed by Giovanni Ceruti, its columns framing the steam that rises off the water even in the middle of the piazza.
Duomo di Santa Maria Assunta
Romanesque cathedral built on the Latin cross plan over an earlier 10th-century church, consecrated by Bishop Guido.
Castello dei Paleologi
Late medieval castle of the Marquises of Monferrato, set above the centro storico with the old town's roofs and the river valley visible below.
Museo Archeologico
Civic collection housed inside the castle, holding finds recovered from the Roman baths, theatre and amphitheatre that once served the spring.
The slow-trip planner
Building a trip? Find where Acqui Terme fits in a slow Italy circuit.
Answer five questions. We will shape a geographically coherent slow trip from the 1,000 Italian towns most travelers skip. Yours to save and share.
We recommend
Where to eat
Not our picks, but places the guides put their name to: a Michelin star, a Gambero Rosso fork, a Slow Food snail, a Michelin Key for the hotels. Worth a table, a counter, or a night when you pass through.
Il MoncalvoRistorante
Il Moncalvo holds one Gambero Rosso fork (79/100).
Through the year
What happens here
Feasts and festivals that come back year after year. We give the month rather than the date, because the date moves and the month rarely does. Check with the source before you plan a journey around one.
Mercatino degli Sgaientòmarket
usually held in August. Langhe.net - Sagre & Fiere in Langa e Roero
Living here
- Population 18,967
- In-betweeni
- Pharmacy in town
- High school within a 30-minute drive
- Train station in the comune
- Nearest airport Genoa, 1 h 3 min drive
- Regional capital Torino, 1 h 39 min drive
Thermal baths in town: Stabilimento Curativo Nuove Terme.
Tags & datadesignations · numbers · sources
Recognised as
The numbers
- Elevation: 156 m
- Population: 18,967
- Surface area: 33.3 km²
These figures were compiled from public directories — ISTAT, OpenStreetMap, Wikidata — and from the official listings of the guides named on this page. Town details change; verify with official sources before you travel.
Close by
More towns near Acqui Terme

Ovada
Province: Alessandria
The Monferrato town at 186 meters where the Orba meets the Stura, the first Dolcetto DOC zone in Piemonte and now DOCG.

Mombaldone
Province: Asti
A walled village of 197 residents, the only borgo in its area that still holds its full medieval perimeter.

Nizza Monferrato
Province: Asti
The capital of Barbera at 267 meters in the upper Monferrato, founded 1225.

Canelli
Province: Asti
The Asti Spumante town at 157 meters in the Belbo valley, where 20 kilometers of underground tuff cellars hold millions of bottles at constant temperature.

Santo Stefano Belbo
Province: Cuneo
A Belbo valley village at 175 meters between the Langhe and Asti hills, birthplace of Cesare Pavese and the largest producer of Moscato d'Asti.
🌻 Spighe Verdi
More Spighe Verdi towns in Piedmont

Alba
Province: Cuneo
The Langhe capital at 172 meters on the Tanaro, world reference for white truffle and Nebbiolo, headquarters of Ferrero.

Bra
Province: Cuneo
A Roero town at 290 meters where the world's first gastronomic university now teaches food systems.

Castiglione Falletto
Province: Cuneo
A Barolo hilltop commune in the Langhe, ringed by vineyards on both sides of its ridge.

Cherasco
Province: Cuneo
A walled grid-plan town on the river terrace where the Stura di Demonte meets the Tanaro, on the western edge of the Langhe.

Chiusa di Pesio
Province: Cuneo
The valley mouth town at 575 meters where the Pesio leaves the mountains, founded around a Carthusian monastery donated in 1173.
