Two years after she was run over on a pedestrian crossing, the woman told the court in the Tuscan province of Massa and Carrara that because of injuries she was unable to enjoy the sexual relationship she had with her husband before the accident, The Independent reported.
The judge ordered the driver's insurance company to pay out the large sum, according to Italy's website The Local.
Judge Rino Tortorelli rejected the insurer's argument that the couple were too old to have such an active sex life in the first place.
"You cannot consider age in the couple's relationship -- whether in sexual, social or leisure terms," he said.
He added that the woman's injuries also meant that the couple were unable to participate in leisure activities including playing sports, cycling and travelling.