My annual trip through northern Italy once again highlighted the extraordinary diversity of the stretch of tiny appellations often marked by heroic viticulture and rugged landscapes. Here at the foothills and lower slopes of the Alps, readers will find some of the most fascinating, complex wines in the world. This report focuses on Alto Piemonte and also looks at Nebbiolo and Nebbiolo-based wines in nearby appellations, including Canavese and Valtellina. For the first time, I also include wines from a handful of estates in Valle d’Aosta, which shares a border with Carema.