Trying to Choose Between Sicily and Malta?
For Americans dreaming of life in the Mediterranean, Sicily and Malta are often at the top of the list.
Both offer warm weather, beautiful coastlines, rich history, incredible food, and a slower pace of life than many parts of the United States. But while they may look similar on a map, daily life in Sicily and Malta can feel surprisingly different.
If you’re considering a move abroad, this guide compares cost of living, language, healthcare, housing, transportation, visas, and overall lifestyle to help you decide which destination is right for you.

Quick Comparison
| Category | Sicily | Malta |
|---|---|---|
| Cost of Living | Lower | Higher |
| Language | Italian | English & Maltese |
| Healthcare | Excellent | Excellent |
| Housing Costs | Lower | Higher |
| Public Transportation | Good | Limited |
| Expat Community | Growing | Very Large |
| Bureaucracy | More Complex | Easier |
| Climate | Slightly Cooler Winters | Warmer Year-Round |
| Ease for Americans | Moderate | Easy |
Cost of Living
For many Americans, cost is one of the biggest deciding factors.
Sicily
A single person can often live comfortably on:
€1,400–€2,200/month
Housing remains one of Sicily’s biggest advantages.
Many apartments cost substantially less than comparable housing in Malta.
Read next:
➡️ Cost of Living in Italy
Malta
A single person often spends:
€1,800–€3,000/month
Malta has experienced significant price increases over the past decade due to population growth and demand from international residents.
While still affordable compared to some U.S. cities, Malta is generally more expensive than Sicily.
Language
Sicily
Italian is the primary language.
While English is spoken in tourist areas and among younger generations, learning basic Italian will dramatically improve your experience.
If you’re considering a long-term move, language learning should be part of your plan.
Malta
Malta’s biggest advantage is language.
English is an official language and is widely spoken throughout the country.
For many Americans, this creates a much easier transition.
Winner: Malta
Healthcare
Both destinations offer excellent healthcare compared to many Americans’ expectations.
Sicily
Residents may qualify for Italy’s public healthcare system after establishing residency.
Read next:
➡️ Italy Healthcare for Americans
Malta
Malta consistently ranks among Europe’s strongest healthcare systems and offers both public and private options.
Winner: Tie
Housing
Sicily
Housing remains one of Sicily’s strongest selling points.
Many expats find:
- Larger apartments
- More outdoor space
- Better value for money
For more information:
➡️ Renting an Apartment in Sicily
Malta
Housing tends to be:
- Smaller
- More modern
- More expensive
Space comes at a premium, especially in areas like Sliema and St. Julian’s.
Winner: Sicily
Transportation
Sicily
Sicily offers:
- Regional trains
- Buses
- Ferry connections
While not perfect, transportation is generally adequate.
Malta
Malta relies heavily on buses and private vehicles.
Traffic congestion can be a common complaint among residents.
Winner: Sicily
Digital Nomads & Remote Workers
Sicily
Ideal for:
- Entrepreneurs
- Freelancers
- Remote workers seeking affordability
Read next:
➡️ Italy Digital Nomad Visa Guide
Malta
Popular among:
- Remote workers
- International professionals
- Online business owners
Malta’s English-speaking environment makes networking easier for many expats.
Winner: Depends on priorities
Lifestyle
This category often determines the final decision.
Choose Sicily If You Want:
- Lower costs
- More space
- Authentic Italian culture
- Slower pace of life
- Better food scene
Choose Malta If You Want:
- English-speaking environment
- Larger international community
- Easier integration
- More modern infrastructure
Safety
Both Sicily and Malta are generally considered safe destinations.
As with any location, crime exists, but most expats report feeling comfortable and secure in both destinations.
For international safety comparisons:
Which Destination Is Better for Americans?
There isn’t one correct answer.
For Americans seeking maximum affordability, authentic culture, and a traditional Mediterranean lifestyle, Sicily often comes out ahead.
For Americans prioritizing convenience, English-speaking services, and a large international community, Malta may be the better choice.
Final Verdict
If budget is your primary concern:
🏆 Sicily
If ease of transition is your primary concern:
🏆 Malta
If you’re looking for a slower, more traditional Mediterranean lifestyle:
🏆 Sicily
If you’re looking for a highly international environment:
🏆 Malta
Both destinations offer incredible opportunities for Americans looking to build a life abroad.
The best choice depends on your priorities, budget, and long-term goals.

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