10 September 2016 Last updated at 18:36 BST
The house of Pietro's owner collapsed as a result of the quake. The cat was taken to a veterinary clinic and is said to be in a critical condition.
He was found when his owners returned to the house to get some belongings.
Nearly 300 people died in August's magnitude-6.2 earthquake.
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Tales of survival
Before and after images show destruction
A cat has been rescued from the rubble of a house 16 days after an earthquake hit the Italian city of Amatrice.