Pokémon media in Italy is printed/translated into Italian (i.e.
Pokémon Bianca e Nera, titles, dialog, card text, etc.), however unlike some European countries like France and Germany, the names of Pokémon themselves aren't localized, and instead English is used. So for example, while Fasasnob is German and Mimitoss is French, in Italian you'd see the familiar names Unfezant and Venonat, respectively, just like on any other American/British/Australian/etc. game, card, or anything else (I think Spain and Latin America use this same approach to an extent). However, other names, such as locations and a few human characters, do get localized specifically for Italy, with some names having common meaning in multiple different translations despite different syntax. For example, Lilycove City translates to
Porto Alghepoli, literally meaning "Port of Seaweed-city," with "poli" being a common suffix because it denotes a city (as opposed to "cittá," which is nonspecific), like "ciudad" in Spanish; May translates to
Vera, derived from the word "primavera," meaning spring.
If you're looking for Pokémon-anything in Italy, the best (or perhaps only) place to go would be commercial hubs in Rome, as the capital is not surprisingly the city with the most investment in foreign industries, Pokémon being included in the American entertainment industry's imports/influence, which in itself is an import from Japan (there's a chain of command that has to do with cultural/popular ubiquitousness and hence profitability). However, aside from maybe other industrial cities in the North (namely Milan and possibly Florence), I really doubt you'd find anything of substantial interest.
Heck in Sicily, forget about Pokémon, they probably still don't know what radio and running water is (I can say that 'cause I'm half-Sicilian ). If you're looking for competitive TCG, I don't know where you can find specific leagues, however they do exist; the VGC's Italian qualifiers are always held in Rome, so I'd imagine it's held competitive TCG as long or longer. It's unfortunate though, because in modern business Europe is becoming more and more of a unified "country" (i.e. EU), with each country including Italy becoming "states" like in the U.S. because many feel their individual economies are too insignificant to stack up to America and China in the arena of global interests, and hence commercial institutions like Pokémon don't bother investing heavily in one European country when they can make more money spreading resources more sparsely over the whole continent. That's why in Italy, you'll find stuff, just not as much, and the icon of Pokémon is much less prominent, to the anger and frustration of its Italian fans, who are as die-hard as any Pokémon fans in any country. If you go to places like Israel and Latin America, it's even worse because of these business intentions.
That being said, dove vai nell'Italia? É un paese molto brillante e bello, inutile dire che avrai un stomaco pieno
. Even if Berlusconi is worthy of titles far too inappropriate for use on this forum…