The confirmed victims in the Lazio mountain village of Amatrice rose to 193, while 11 were confirmed dead in the nearby village of Accumoli.
Another 46 have died in the Arquata area of the neighboring Le Marche region, according to Civil Protection Emergency Director, Titti Postiglione.
The Civil Protection Department confrmed that a total of 238 people have been rescued from under the rubble so far.
The Alpine rescue service has extracted 23 people from the rubble in Le Marche, and the fire brigade has rescued 215 people overall.
The number of hospitalised victims has risen to 365.
ANSA