The best selling album in 1991 in Italy was MALINCONOIA by MARCO MASINI which sold 830,000 copies.
| Rank | Artist | Album | Sales | Released |
| 1 | MARCO MASINI | MALINCONOIA | 830,000 | 1991 |
| 2 | DIRE STRAITS | ON EVERY STREET | 520,000 | 1991 |
| 3 | STING | THE SOUL CAGES | 500,000 | 1991 |
| 4 | QUEEN | GREATEST HITS II | 500,000 | 1991 |
| 5 | U2 | ACHTUNG BABY | 450,000 | 1991 |
| 6 | MICHAEL JACKSON | DANGEROUS | 400,000 | 1991 |
| 7 | QUEEN | INNUENDO | 400,000 | 1991 |
| 8 | SIMPLY RED | STARS | 380,000 | 1991 |
| 9 | R.E.M. | OUT OF TIME | 380,000 | 1991 |
| 10 | SIMPLE MINDS | REAL LIFE | 300,000 | 1991 |
Source: Musica & Dischi