Easy, efficient and great car hire.

Excellent

Not bad. Upon arrival at Malpensa T1, there is a centralized car rental counter area. Alamo doesn’t have its own separate counter, sharing a storefront with a few other brands. Look for Lucamotive. Now, you take a ticket from the self-service machine at the entrance and wait for your number to be called. The process is pretty standard: once completed, they will give you a car pickup slip. Walk to the parking lot to get the car—there are two sections, so make sure to ask for directions. I booked a Skoda Octavia wagon but got a Seat Cupra instead. It's a sporty car with high-end features. On Italian highways, remember to use the “Carte” lane to pay tolls directly with a credit card. Since my departure flight was at Bergamo Airport, the address provided was completely wrong—it leads you to the terminal departure area. Unload your luggage first. Then self-drive to the correct location. Eventually, I found the return point at the airport's P3 Car Return area. Each rental company has its designated section there. Look for Lucamotive again. The staff handled the return quickly—just signed and you’re done. At the far end of the return parking lot, there's a free shuttle bus that runs roughly every 10 minutes. It takes around 10 minutes to get to the terminal.

Very good

Excellent

Like: The service at the rental office was friendly and very good. We were a large group of 5 adults and 4 children, who had booked 2 station wagons. The lady at the pick-up office saw our luggage (which we considered typical for US / Canadian families) and pointed out, correctly, that it would not fit into the cars we had booked, along with the passengers. I guess North American ideas of "medium" sized cars is different from European ones. She offered 1 car as booked, and offered a 9 seater mini-van instead of the 2nd car. The additional charge was very reasonable (80 Euros for 5 days) and the swap made so much sense for us in the end. Very good service, and all was handled with the least amount of fuss or hassles.
Dislike: At the time of drop-off, I did pay a steep fee (45 Euros) for not refilling the gas to full. This fee was in addition to the cost of the fuel, which was also charged at a premium. I suggest that you should leave enough time to get a refill before returning the car to avoid this.