Athletes
| # | Athlete | G · S · B | Total | ||
|---|---|---|---|---|---|
| 1 | Pietro Mennea Men · 1971–83 | 28 Jun 1952 | 100m, 200m, 400m +1 | 21 gold 8 silver 7 bronze | 36 |
| 2 | Nadia Battocletti Women · 2017–26 | 12 Apr 2000 | 3000m, 5000m, 10,000m +7 | 18 gold 8 silver 2 bronze | 28 |
| 3 | Gianmarco Tamberi Men · 2011–26 | 1 Jun 1992 | High jump | 12 gold 1 silver 2 bronze | 15 |
| 4 | Yemaneberhan Crippa Men · 2013–24 | 15 Oct 1996 | 5000m, 10,000m, Half marathon +6 | 11 gold 4 silver 11 bronze | 26 |
| 5 | Sara Simeoni Women · 1971–84 | 19 Apr 1953 | High jump | 10 gold 5 silver 4 bronze | 19 |
| 6 | Gennaro Di Napoli Men · 1987–99 | 5 Mar 1968 | 1500m, 3000m, 5000m +1 | 10 gold 2 silver 2 bronze | 14 |
| 7 | Fiona May Women · 1994–2005 | 12 Dec 1969 | Long jump, Triple jump | 9 gold 6 silver 6 bronze | 21 |
| 8 | Alessandro Sibilio Men · 2016–24 | 27 Apr 1999 | 400m hurdles, 400m hurdles (83.8 cm), relays | 9 gold 3 silver 0 bronze | 12 |
| 9 | Lamont Marcell Jacobs Men · 2016–24 | 26 Sep 1994 | 60m, 100m, Long jump +1 | 9 gold 3 silver 0 bronze | 12 |
| 10 | Maurizio Damilano Men · 1980–91 | 6 Apr 1957 | 5000m race walk, 20 km race walk | 8 gold 5 silver 2 bronze | 15 |
| 11 | Edoardo Scotti Men · 2017–26 | 9 May 2000 | 400m, relays | 8 gold 4 silver 2 bronze | 14 |
| 12 | Stefano Tilli Men · 1983–99 | 22 Aug 1962 | 60m, 100m, 200m +1 | 8 gold 3 silver 6 bronze | 17 |
| 13 | Alessandro Lambruschini Men · 1987–98 | 7 Jan 1965 | 3000m, 5000m, 3000m steeplechase | 7 gold 4 silver 4 bronze | 15 |
| 14 | Livio Berruti Men · 1959–67 | 19 May 1939 | 100m, 200m, relays | 7 gold 2 silver 2 bronze | 11 |
| 15 | Andrew Howe Men · 2001–07 | 12 May 1985 | 200m, Long jump, Triple jump +1 | 7 gold 1 silver 3 bronze | 11 |
| 16 | Abdon Pamich Men · 1955–71 | 3 Oct 1933 | 50 km race walk | 7 gold 1 silver 2 bronze | 10 |
| 17 | Eddy Ottoz Men · 1965–69 | 3 Jun 1944 | 50m hurdles, 60m hurdles, 110m hurdles | 7 gold 0 silver 1 bronze | 8 |
| 18 | Fabrizio Mori Men · 1991–2002 | 28 Jun 1969 | 400m hurdles, relays | 6 gold 6 silver 4 bronze | 16 |
| 19 | Fabrizio Donato Men · 2000–17 | 14 Aug 1976 | Triple jump | 6 gold 5 silver 1 bronze | 12 |
| 20 | Alessia Trost Women · 2009–21 | 8 Mar 1993 | High jump | 6 gold 4 silver 3 bronze | 13 |
| 21 | Larissa Iapichino Women · 2019–26 | 18 Jul 2002 | Long jump | 6 gold 4 silver 1 bronze | 11 |
| 22 | Alberto Cova Men · 1982–86 | 1 Dec 1958 | 3000m, 5000m, 10,000m | 6 gold 3 silver 1 bronze | 10 |
| 23 | Davide Re Men · 2009–21 | 16 Mar 1993 | 400m, relays | 6 gold 2 silver 4 bronze | 12 |
| 24 | Libania Grenot Women · 2009–18 | 12 Jul 1983 | 200m, 400m, relays | 6 gold 2 silver 4 bronze | 12 |
| 25 | Annarita Sidoti Women · 1990–98 | 25 Jul 1969 | 3000m race walk, 10 km race walk, 10,000m race walk | 6 gold 2 silver 3 bronze | 11 |
Only international medals count: national championship titles are left out.