Italy have failed to qualify for the World Cup for the first time since 1958 after a goalless second-leg draw against Sweden on Monday led to a 1-0 aggregate defeat.
Gian Piero Ventura's side dominated possession at the San Siro but could not find a way past Sweden goalkeeper Robin Olsen, who saved from Ciro Immobile and Alessandro Florenzi at the end of the first half and then denied Stephen Do Shaarawy late in the game.
Sweden offered little in attack but held on to secure their first World Cup appearance since 2006.