The most common way to say “How are you?” in Italian is:

  • Come stai? – informal, to a friend or someone your age.
  • Come sta? – formal, to a stranger, older person, or in polite situations.

A couple of very common, more casual options you’ll also hear a lot:

  • Come va? – “How’s it going?”
  • Tutto bene? – “Everything ok?” / “All good?”

Typical replies:

  • Sto bene, grazie. – “I’m fine, thank you.”
  • Tutto bene. – “All good.”