Yes, some universities in Italy allow students to study without IELTS. Instead of IELTS, students can provide proof that they have studied their previous education in English medium. This is usually done through a Medium of Instruction (MOI) certificate from their school or college. However, not all universities accept this, so it is important to check the requirements of each university. In some cases, students may also need to attend an online interview to prove their English skills. So, IELTS is not always mandatory.