This report analyses strategies for demographic adaptation in Campania Italy a region that stretches from the Tyrrhenian coast to mountainous inland areas. Home to Naples a vibrant urban core and a rich cultural and environmental heritage Campania faces urgent challenges: accelerating youth outmigration population ageing and widening disparities between its dynamic coastal belt and shrinking inland zones. Between 2008 and 2020 the region lost 7 000 - 10 000 residents aged 15-29 annually to other parts of Italy. Population decline is projected to reach 11% between 2023-2043 compared to just 1.9% over 2000-2023.