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Montalcino, Italy Montalcino is a hilltown and comune in Tuscany, Italy. The hill upon which Montalcino sits has been settled probably since Etruscan times. It is famous for its Brunello di Montalcino wine. The town is located to the west of Pienza, close to the Crete Senesi in Val d'Orcia. It is 42 km from Siena, 110 km from Florence and 150 km from Pisa.