Abstract
Information System literature is rich in studies concerning the impact of Information and Communication Technologies (ICT) on organizations. This chapter, however, focuses on a specific context: small and medium size enterprises (SMEs). It presents an up-to-date picture of the ICT employed and of the activities ICT support within Italian SMEs. Moreover, it provides results regarding the relationship between ICT and SME strategy. Data were collected through a survey on IT managers of 143 SMEs placed in Northern Italy. Research results highlighted relevant differences on how small and medium size organizations employ ICT in order to influence or support their strategy.