Italy's Underrated 'Little Jerusalem' Is A Picturesque Medieval Village Perched On A Hill JHVEPhoto/Shutterstock Italy has no shortage of picturesque medieval villages, from a unique Scottish-Italian medieval town to Gangi, which was ranked as one the most beautiful in all of Italy, but there is only one with the title of "Little Jerusalem." In the Tuscan countryside, far away from the hustle and bustle of Florence, Venice, and Rome, lies the enchanting hilltop town of Pitigliano.