Italian › Phrases › How are you
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In English, “how are you” is barely a question. You say it walking past somebody and neither of you slows down. Italian does not work that way. Come stai? expects an answer, and the answer is usually where the real conversation starts.
Here is every version of the question, who each one belongs to, and the fifteen replies Italians genuinely use.
All 12 ways to ask “how are you” in Italian
| Italian | Say it like | Means | Use it when… | Listen |
|---|---|---|---|---|
| Come stai? | KOH-meh sty | how are you? (informal) | friends, family, children — anyone you call by first name | |
| Come sta? | KOH-meh stah | how are you? (formal) | a stranger, a shopkeeper, anyone older — the Lei form | |
| Come state? | KOH-meh STAH-teh | how are you? (to a group) | asking two or more people at once | |
| Come va? | KOH-meh vah | how is it going? | the safe middle ground — polite enough for anyone | |
| Tutto bene? | TOOT-toh BEH-neh | everything good? | quick and warm, in passing — expects a quick yes | |
| Come te la passi? | KOH-meh teh lah PAHS-see | how are you getting on? | someone you have not seen for months | |
| Come vanno le cose? | KOH-meh VAHN-noh leh KOH-zeh | how are things going? | sitting down to catch up properly | |
| Che si dice? | keh see DEE-cheh | what is new? | friendly, curious, a little bit nosy | |
| Tutto a posto? | TOOT-toh ah POH-stoh | everything in order? | checking on someone who looks off | |
| Come ti senti? | KOH-meh tee SEN-tee | how do you feel? | they have been unwell — this one is about health | |
| Come si sente? | KOH-meh see SEN-teh | how do you feel? (formal) | the same question at the doctor’s office | |
| Come butta? | KOH-meh BOOT-tah | how is it hanging? | slang, under-thirties only. Never with nonna |
Come stai or come sta? Getting the respect right
This is the only part that can actually go wrong, and it takes one minute to learn.
Italian has two words for “you”. Tu is the warm one — family, friends, children, colleagues you like. Lei is the respectful one, used with strangers, shopkeepers, officials, and anyone noticeably older than you. That choice changes the verb, which is why the same question comes out as come stai? for one and come sta? for the other.
The practical rule for a visitor: start with come sta? Nobody has ever been offended by too much respect. Italians will usually release you from it within a minute or two — diamoci del tu, “let us use tu” — and from then on you are on first-name terms for life.
Two small notes that save embarrassment. Lei is usually written with a capital L when it means the polite “you”, which is how you tell it apart from lei, “she”. And if you are asking a group — two cousins, a whole table — the question becomes come state? regardless of how well you know them.
How Italians actually answer
Most courses stop at bene, grazie. Real conversations run on a much wider range, and the choice tells the other person how the week has really gone.
| Italian | Say it like | Means | Use it when… | Listen |
|---|---|---|---|---|
| Bene, grazie | BEH-neh GRAH-tsyeh | fine, thank you | the reliable default — never wrong, anywhere | |
| Sto bene | stoh BEH-neh | I am well | the full-sentence version of bene | |
| Molto bene | MOL-toh BEH-neh | very well | a step up, said with a smile | |
| Benissimo! | beh-NEES-see-moh | wonderful! | genuinely good news — Italians reach for this often | |
| Alla grande | AHL-lah GRAHN-deh | going great | upbeat and casual, between friends | |
| Tutto bene | TOOT-toh BEH-neh | all good | the easy echo when someone asks tutto bene? | |
| Tutto a posto | TOOT-toh ah POH-stoh | all in order | calm — nothing to worry about here | |
| Non c’è male | nohn cheh MAH-leh | not bad | the honest, modest, very Italian answer | |
| Abbastanza bene | ahb-bah-STAHN-tsah BEH-neh | well enough | fine, with one small reservation left unsaid | |
| Non mi lamento | nohn mee lah-MEN-toh | I cannot complain | modest, and a favorite of older Italians | |
| Si tira avanti | see TEE-rah ah-VAHN-tee | we get by | the stoic old-country reply — you will hear it from nonni | |
| Così così | koh-ZEE koh-ZEE | so-so | up and down — it invites a follow-up question | |
| Insomma… | een-SOM-mah | eh, not great | said with a tilted hand. Something is wrong | |
| Un po’ stanco / stanca | oon poh STAHN-koh / STAHN-kah | a little tired | -o if you are a man, -a if a woman | |
| E tu? / E Lei? | eh too / eh lay | and you? | hand the question straight back — always |
In Italy, the question is real
The first thing that surprises Americans in Italy is that people answer honestly. Ask an Italian come stai? and you may hear about a knee, a landlord, a daughter who never calls. This is not oversharing. The question was a genuine offer and the answer accepts it.
Which is why bene said flatly can land oddly. Italians hear the tone, not just the word. A cheerful benissimo! and a resigned si tira avanti are the same length and completely different reports on your life.
You will also see the answer before you hear it. Insomma arrives with a flat hand tilting side to side like a small boat, and così così often skips the words altogether and is nothing but that hand. If you grew up watching a grandparent do that at the kitchen table, you already speak this part — there is a whole vocabulary of it in our guide to Italian hand gestures.
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Practice: quick check
1. Your cousin in Italy picks up the phone…
2. You are at a pharmacy in Palermo and the pharmacist is well over seventy…
3. Someone asks come va? and the honest answer is “tired”…

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