Both US and Italian accounts are great!
I’m an American living in Italy and I have a photography business in both countries and so I actually have both an Italian account and a US account. I have a card reader for both countries and overall I’ve been very happy with the service. My only gripe is recently I had a minor question and sent an email on a Saturday not expecting to hear anything until Monday, but I didn’t hear anything until Wednesday. But outside of that the service, the interaction by phone has all been super positive. I would actually highly recommend their service. Also their rates are superb and one can take all major credit cards, including American Express, Apple Pay, Google pay, contactless, etc. I can even take Credit cards from all countries in either country and I can even take Italian bancomat in Italy which is basically an ATM card as most Italians actually don’t use credit cards.