 On 18 March, he finally opted to refuse the Polish Football Federation offer, and instead confirmed his choice to represent Italy at international level.With the national youth team, Acquafresca finished as the third placed team in group 6 in their 2006 UEFA European Under-19 Football Championship qualification campaign.With the Italian under-21 team, Acquafresca finished as the losing semi-finalist in the 2009 UEFA European Under-21 Football Championship, losing out 0–1 to eventual champions Germany.