The guide
Italy or Georgia?
The same questions asked of both, in the same order, with what each one costs you level with what it gives you. Neither column is a recommendation — the last row is the one to read twice.
First
Italy
Second
Georgia
In one line
The cheapest realistic route into Western Europe for a family without money — tuition scales to income, and regional scholarships pay you to study.
The most accessible route in this region into an English-taught medical degree, at a cost no European medical school comes close to.
What only this place gives you
Fees are calculated from family income (the ISEE assessment), and DSU regional scholarships cover tuition, a living grant, housing and meals for students below an income threshold — a package that exists nowhere else in Europe at this scale.
Medicine taught entirely in English, admitting on school results rather than on a national examination no foreigner can sit, and priced far below any European or American equivalent.
What is good here
- Income-scaled tuition plus DSU scholarships: for a modest-income family this can be the cheapest option on the entire list, cheaper than staying home.
- Medicine taught in English, entered through the IMAT exam — one of the few honest routes into European medicine for an international student.
- Design, architecture and fashion at Politecnico and the Milan schools, sitting inside the industry itself.
- EU degree, EU mobility afterwards, and a 12-month post-study residence permit to find work.
- Cost of living outside Milan is genuinely low by Western European standards.
- English-taught medicine admits on school results and an English certificate, with no national entrance examination for international applicants.
- Entry and residence are unusually simple for citizens of this region, and the cost of living is among the lowest here.
- Tuition for a full degree can total less than a single year in Western Europe.
- The country is small enough that a student network reaches real employers quickly, and the technology and outsourcing scene is growing.
What it costs you
- Italian is essential for daily life and for most jobs; English-taught degrees do not change that once you step off campus.
- Bureaucracy is slow and document-heavy — the permesso di soggiorno process is a rite of passage, not an anecdote.
- Graduate salaries and the domestic job market are weak compared to Germany or the Netherlands; many graduates leave to work.
- DSU scholarships are administered per region with different rules, deadlines and reliability — the paperwork is the actual hurdle.
- University structures are old-fashioned: large lectures, oral exams, little pastoral support.
- Housing in Milan is expensive and competitive, closer to a northern European capital than to the rest of Italy.
- A medical degree is only the first step: practising anywhere else means passing that country's own licensing examinations, and the pass rate depends on how hard you worked, not on the certificate.
- Quality between medical schools varies sharply, and the agencies that recruit for them push the weakest hardest.
- Clinical exposure can be thin, and it is the part of a medical education that cannot be made up afterwards.
- Outside medicine and technology the graduate market is small and salaries are low.
- Georgian is needed for daily life and for patient contact, and it is unrelated to any language you are likely to already have.
Money — how paying for it works
Tuition depends on assessed family income, and can fall to nothing. Add a DSU grant and the state effectively pays you to study. The catch is entirely in the paperwork: certified, translated income documents, on time, per region.
Tuition for English-taught medicine sits far below any European or American equivalent and living costs are low, which is the entire proposition; there are no meaningful need-based scholarships, so a family pays, but the total for a whole degree can come to less than one year elsewhere. Budget for the licensing examinations afterwards — they are the real second cost and students routinely forget them.
Getting in — what they weigh
Programme-specific: TOLC entrance tests for many degrees, IMAT for English-taught medicine, portfolio for design. Grades matter, personal essays barely exist. Compass evaluates Italian programmes deterministically, including the DSU and financial-fit picture.
School results and an English qualification, with an interview at some institutions. There is no national entrance examination for international applicants and no essay culture, which is exactly what makes it reachable for a student whose record is solid but unpolished.
After you graduate
A 12-month permit to look for work after graduating, and EU-wide mobility with the degree. Working in Italy itself is the harder half — the language and the market both bite.
A residence permit tied to study and a straightforward route to staying while you work — but after a medical degree the real question is where you sit your licensing examinations, because that decides where you can practise, not where you studied.
Post-study work rules are set by politics and change. Check the rule for your own graduation year before you plan around it.
Strongest fields here
- Arts & Design
- Engineering
- Business & Economics
- Medicine & Health
- Humanities & Social Sciences
- Medicine & Health
- Business & Economics
- Computer Science
- Humanities & Social Sciences
This suits you if…
Money is the binding constraint, you are willing to learn Italian, and you want design, architecture, engineering or medicine.
You want to study medicine in English at a cost your family can carry, and you are prepared to sit the licensing examinations of the country you eventually want to practise in.
Look elsewhere if…
You need high graduate earnings immediately, or you cannot handle administrative uncertainty. Both will make you miserable here.
You want a research career, a strong domestic market outside medicine, or a degree that opens doors on its name — this one opens them on what you do with it afterwards.