The 6.6-magnitude quake, This is Italy's strongest in decades, it struck close to the region where nearly 300 people were killed by a quake in August.
This is no record of death, but about 20 people were injured.
The medieval basilica of St Benedict in Norcia, the town closest to the epicentre, was among buildings destroyed.
An evacuation of buildings in the region deemed vulnerable to seismic activity last week, following strong aftershocks from August's quake, may have saved lives.
Tremors from this latest earthquake were felt in the capital Rome, where the Metro system was shut down, and as far away as Venice in the north.
The head of the national civil protection agency, Fabrizio Curcio, said there had been extensive damage to many historic buildings but no deaths had been registered. "About 20 people are injured. As far as people are concerned, the situation is positive, but many buildings are in a critical state in historic centres and there are problems with electricity and water supplies," he added.
Prime Minister Matteo Renzi has promised that everything will be rebuilt, saying resources will be found.
"We are going through a really tough period," he said. "We must not allow the profound pain, fatigue and stress that we have now to turn into resignation."
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