There is not much to separate the two sides, as their respective performances in Phase 1 have been almost identical.
Even though Italy will be the slight favourites, tournament co-hosts, the Netherlands, cannot be taken lightly.
There are some tough teams present in Pool A and Puerto Rico had to face them all in their opening three matches.
Puerto Rico had a tough challenge awaiting them in the form of Belgium in the opener. The Europeans were simply too good on the day.
Italy are the runners-up in the Women's World Championship after losing to Serbia in the final four years ago.
The tournament which is hosted in the Netherlands and Poland this year will take place from 23rd September to 15th October.