This article considers the changed role of the Italian presidency and the impact and legacy of Silvio Berlusconi on this. After consideration of some of the methodological difficulties raised by these issues, the article looks at the role of the presidency up to 1992, when the presidency was interpreted in narrow terms set by the framers of the 1948 constitution and by the predominance of the party leaders of the period over the political direction of the State. The article considers how presidents from Sandro Pertini (1978–85) on, sought in different ways to expand the political role of their office. The article analyses the different ways that Oscar Luigi Scalfaro, Carlo Azeglio Ciampi and Giorgio Napolitano used their formal and informal powers both to maintain the status of the office and to promote political goals, and concludes with an assessment of the likely long-term impact of these changes and of Berlusconi's role in them.