The hill upon which Montalcino sits has probably been settled since Etruscan times. Its first mention in historical documents in 814 AD suggests there was a church here in the 9th century, most likely built by monks associated with the nearby Abbey of Sant'Antimo. The population grew suddenly in the middle of the tenth century, when people fleeing the nearby town of Roselle took up residence in the town.
The town takes its name from a variety of oak tree that once covered the terrain. The very high site of the town offers stunning views over the Asso, Ombrone and Arbia valleys of Tuscany, dotted with silvery olive orchards, vineyards, fields and villages. The lower slopes of the Montalcino hill itself are dominated by highly productive vines and olive orchards.