Based on votes counted by 0230 GMT, ex-PM Silvio Berlusconi's centre-right coalition looks set to win the most seats in the lower house of parliament.
It is tipped to get 248-268 seats - below the 316 needed for a majority.
Forming a government may now take weeks of negotiation and coalition-building.
Alternatively, fresh elections could be held in a bid to produce a more decisive result - though there is no guarantee that would happen.
Vote projection figures put the anti-establishment Five Star Movement in second place. It has made significant gains and could emerge as the largest single party, with 216-236 lower house seats.
A centre-left coalition led by the governing Democratic Party stands in third place, with a projected 107-127 seats - its prospects battered by public anger over unemployment and immigration.
Source : bbc
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