Italy is a country in the south of Europe. It is divided into 20 regions. A region is a part of the country with a government and a president.
In Italy, regions can decide some things. They can give money to local business. They can decide some things about hospitals, schools, and transport.
In some regions, people speak other languages. In Alto Adige/Südtirol a lot of people speak mainly German. So this region is "special" and can decide more things.
Sardinia and Sicily are islands. They have different problems than other regions. They have also some different laws. These regions are called "regions with special laws" (Italian: Regione a statuto speciale).