The title of this episode, "La Amara Vita", is Italian for "the bitter life". This is both a reference to the fact that the entire episode takes place in Italy and a nod to the Italian film La Dolce Vita (1960).
The events in this episode were originally intended to take place in the same episode as the ones in A Private Person (2021). However, budget concerns and other challenges ultimately forced the show runners to split them into two separate episodes.