Understanding IMAT Requirements: Scores, Difficulty, and Opportunities for EU Students
- Δεσπω Κυρμιτση

- Feb 14
- 3 min read
Applying to medical schools in Italy through the IMAT (International Medical Admissions Test) is a popular choice for many EU students aiming to earn a medical degree abroad. The IMAT is a crucial step in the university-application process for those who want to study medicine in Italy. This post explores how much score is needed for IMAT, the level of IMAT difficulty, the number of available positions for EU students, and the volume of applications received each year. Understanding these factors helps students and parents prepare effectively for this competitive entrance-exam.

Student focused on IMAT exam in Italy
How Much Score Is Needed for IMAT
The IMAT-score required to secure a place in an Italian medical school varies each year depending on the number of applicants and available seats. Generally, the minimum score to pass is around 40 to 45 points out of 90. However, to be competitive and have a realistic chance of admission, students often need to aim for a score above 50 points.
For example, in recent years, the cutoff scores for EU students have ranged between:
40 to 50 points for less competitive universities
50 to 60 points or higher for top-ranked medical schools like the University of Milan or Sapienza University of Rome
These scores reflect the intense competition among applicants. The IMAT-score is calculated based on correct answers, with penalties for wrong answers, so accuracy is as important as speed.
Understanding the IMAT Difficulty
The IMAT is known for its challenging nature. It tests a broad range of skills and knowledge, including:
Logical reasoning and problem-solving
General knowledge in biology, chemistry, physics, and mathematics
Critical thinking and reading comprehension in English
The test consists of 60 multiple-choice questions to be answered in 100 minutes. The IMAT-difficulty lies in the diversity of topics and the time pressure. Many students find the logical reasoning and general knowledge sections particularly demanding because they require not only memorization but also the ability to apply concepts quickly.
Prep-courses are highly recommended to improve performance. These courses focus on familiarizing students with the exam format, practicing past papers, and strengthening weak areas. Students who take prep-courses often report better confidence and higher scores.
Number of Positions for EU Students
Italian medical schools allocate a fixed number of seats for EU students each year. The total number of positions varies by university but typically ranges from 100 to 300 seats per institution. Across Italy, there are approximately 1,500 to 2,000 seats available for EU students in English-taught medical-degree programs.
For example:
University of Pavia offers about 150 seats
University of Rome Tor Vergata provides around 200 seats
University of Bologna has approximately 180 seats
These numbers reflect the commitment of Italian universities to attract international talent while maintaining high educational standards.
How Many Applications Are Submitted Each Year
The IMAT attracts thousands of applicants annually. On average, over 10,000 students from EU countries apply each year for the limited seats in medical-degree programs in Italy. This high volume of university-application submissions makes the competition intense.
For instance, in 2023, the IMAT received around 12,000 applications for roughly 1,800 available seats. This means only about 15% of applicants secure admission, highlighting the importance of a strong IMAT-score and thorough preparation.
Tips for EU Students Preparing for IMAT
Start early: Begin studying months in advance to cover all subjects thoroughly.
Use official past papers: Practice with previous IMAT exams to understand question patterns.
Join prep-courses: These provide structured learning and exam strategies.
Focus on weak areas: Identify and improve on subjects like physics or logical reasoning.
Manage time during the test: Practice answering questions quickly and accurately.
What to Expect After the IMAT
Once the IMAT results are published, students receive their rankings. Admission depends on the score and the number of available seats at each university. Those who meet or exceed the cutoff score for their preferred university receive an offer to enroll in the medical-degree program.
Students who do not secure a place can consider reapplying the following year or exploring other medical schools in Europe. The IMAT remains one of the most accessible routes for EU students to study medicine in Italy, thanks to its English-taught programs and relatively affordable tuition fees.




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