The reconstruction of the trade routes along which garnets reached Europe in the early Middle Ages demonstrates the persistence of long-distance trade after the fall of the Western Roman Empire. Early medieval garnet jewellery from Italy and the presence of lapidary workshops are important evidence for understanding the dynamics of this commerce but are systematically overlooked. Chemical trace-element analysis (LA-ICP-MS) of loose and inset garnets and glass inlays from burials in sixth–seventh-century Lombardy has identified South Asian and Bohemian garnets together with Egyptian glass. This combination shows that the long-distance trade routes crossing the Peninsula and the Alpine passes played a key role in the European market for garnets, significantly modifying the current model of the Mediterranean garnet trade and shedding new light on the character of the elites who emerged in Italy during the Migration period.