You Do Need power plug adapter while traveling from Italy to North Macedonia.

Here is Why You Need An Adapter

The outlet and plug type used in North Macedonia are C and F and in Italy are C, F and L. This is how they look like.

Italy

In Italy, outlets of type C, F and L are in use.

Type C

Type F

Type L

North Macedonia

In North Macedonia, outlets of type C and F are in use.

Type C

Type F