Italy received a total of 105 M44s in 1957 as part of the United States Military Assistance Program. The arrival of the M44 represented a step forward for the Italian Army compared to towed artillery, and despite the introduction of more modern SPGs, the M44 remained in service for a number of years. After the army’s restructuring in 1975, they were in service with the 9th Self-Propelled Artillery Group “Brennero”, the 10th Self-Propelled Artillery Group “Avisio”, as well as the 1st and 2nd Groups of the Horse Artillery Regiment. Starting in the 1980s, they began to be replaced by the M109G, and by 1986 almost all M44s had been withdrawn from operational units.

Introduced in Update “Storm Warning”, the M44 features a compact size, a powerful 155 mm cannon, and good mobility. Two types of shells are available for the gun: the M107 high-explosive shell and the M110 smoke shell. However, it is worth noting that the thin armour of the fighting compartment and hull, as well as the open-top turret, make the M44 easy prey for both armoured vehicles and aircraft. The horizontal gun traverse angles are limited to 30 degrees, which often requires turning the hull to aim at the target. In addition, the long reload time, characteristic of guns of this calibre, makes the vehicle more effective at range than close quarters.