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Montacuto is a comune (municipality) in the Province of Alessandria in the Italian region Piedmont, located about southeast of Turin and about southeast of Alessandria. As of 31 December 2004, it had a population of 335 and an area of .

Montacuto borders the following municipalities: Albera Ligure, Cantalupo Ligure, Dernice, Fabbrica Curone, Gremiasco, and San Sebastiano Curone.