Yes, sorry, this is only for the Google Android version of Run.GPS. The Windows Mobile version has speech synthesis for the 4 languages English, German, French, Spanish
Yesterday I downloaded the new version ( 2.3.5).
In the changelog (http://www.rungps.net/wiki/ChangeHistoryUVEN) I read:
....
•added Italian voice output
...
If a try to change "voice output" in "general setting" I can't find Italian voice.