Italy is approximately 301,340 sq km, while American Samoa is approximately 199 sq km, making American Samoa 0.07% the size of Italy. Meanwhile, the population of Italy is ~62.1 million people (62.1 million fewer people live in American Samoa).
This to-scale map shows a size comparison of Italy compared to American Samoa. For more details, see an in-depth quality of life comparison of American Samoa vs. Italy using our country comparison tool.
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