Montalto delle Marche is still structured around the medieval village. Along the walls, there are three main gates who provide the access to the central fortification, which is divided into three main areas: the Cassero, the Peracchia and Piazza Umberto I. The modern part of the city is located on the northeast side, and includes the main square (Piazza Sisto V) and the monumental cathedral, constructed by the desire of Pope Sixtus V.
The hamlets of Porchia and Patrignone are also medieval villages, once autonomous municipalities: the medieval fortifications still exist.
- 1 Montalto Cathedral (Basilica of Santa Maria Assunta and San Vito), Piazza Sisto V. A Roman Catholic church dedicated to the Assumption of the Virgin Mary and Saint Vitus.
- La Notte delle Streghe e dei Folletti. In mid-August, "the night of the Witches and the Elves", witches, goblins and elves play with the main characters of the fairy tales, until the wicked old witch is burned in the main square.