Compatibility summary
You will need a travel adapter in Cayman Islands; plug types used there differ from Italy. Voltage differs by more than 20% — a voltage converter may be needed for some appliances.
Plug comparison
Italy plug types: C F L
Cayman Islands plug types: A B
There is no common plug type between Italy (C F L) and Cayman Islands (A B). You need a travel adapter.
Voltage comparison
Italy: 230V, 50Hz
Cayman Islands: 120V, 60Hz
Voltage converter recommended (Italy 230V vs Cayman Islands 120V).