A woman sits amongst rubble following a quake in Amatrice, central Italy, Aug 24, 2016.[Photo/Agencies]

"It was so strong. It seemed the bed was walking across the room by itself with us on it," Lina Mercantini of Ceselli, Umbria, about 75 km away from the hardest hit area, told Reuters.

Italy sits on two fault lines, making it one of the most seismically active countries in Europe.

The last major earthquake to hit the country struck the central city of L'Aquila in 2009, killing more than 300 people.

The most deadly since the start of the 20th century came in 1908, when an earthquake followed by a tsunami killed an estimated 80,000 people in the southern regions of Reggio Calabria and Sicily. ($1 = 0.8868 euros)