Italian female names derive primarily from Italian and earlier Latin forms. A clear marker is the feminine -a ending, often created as the feminine of a masculine name (Alessandra from Alessandro, Agostina from Agostino). Diminutive and affectionate feminine suffixes are common, including -ina, -etta, and -ella.

Religious naming has been influential, especially names of saints and Marian forms, though double names with Maria are less common today. Contemporary use favors shorter, easily international names alongside revived traditional choices. From this list, names in regular modern use include Alessia, Alessandra, Allegra, Alba, Agata, Aida, Alessa, and Adelia.