The Sanremo Marathon is a road race held in Sanremo, along the Ligurian Sea, in early December. The marathon covers the standard 42.195 km distance. It begins and ends at the Sanremo Athletics Stadium in Pian di Poma. The course is FIDAL-approved, and participants have a six-hour time limit. The race weekend also features a half marathon, a non-competitive 10 km, a 5 km Ospedaletti Run, and a 2.5 km Family Run, catering to both licensed marathoners and those seeking shorter distances.
The route starts on the athletics track before transitioning to the Riviera dei Fiori cycle path, following the old railway line by the sea. Runners proceed towards Ospedaletti, then return through Sanremo. The course continues east through Arma di Taggia, Riva Ligure, and Santo Stefano al Mare. A turnaround point is located before the San Lorenzo tunnel, with the return leg heading west back to Sanremo. Organizers describe the course as very fast, straight, and nearly flat, suitable for runners aiming for personal bests. Entry requirements align with Italian federation standards, necessitating a FIDAL card, a World Athletics license, or a RunCard with the appropriate competitive medical certificate.