Volunteers and officials including Pope Francis have rallied around the survivors and families of victims with messages of support and offers of help.
Meanwhile, work continues with the task of recovering bodies from the rubble.
In a sports hall in Ascoli Piceno, relatives gathered with tears streaming down their faces.
Family members huddled around the 35 coffins laid in the hall, including that of an 18 month-old baby, one of more than 20 children known to have died in the earthquake.
In Vatican City, Pope Francis has asked thousands in Saint Peter's Square to pray for Italy.
"Dear brothers and sisters, I wish to renew my spiritual closeness to the inhabitants of Lazio, Le Marche and Umbria, hard-hit by the earthquake of recent days. I think, in particular, of the people of Amatrice, Accumoli, Arquata, Pescara del Tronto and Norcia. Once again, I say to those dear people that the Church shares their suffering and their concerns. Let us pray for the dead and the survivors."
Four days after the powerful quake, hopes of finding more survivors have faded.
Rescue workers are still pulling bodies from huge piles of rubble in Amatrice.
The Italian non-government organisation Mercy has established temporary tent accommodation for about 130 quake survivors in Sant'Angelo.
Mercy president Alberto Corsinovi says the group has also had to provide basic supplies such as clothing for many people unable to retrieve their belongings from their homes.
"To see our volunteers, who, with great discretion, are gently taking care of these people who have suffered this tragedy, it's like a ray of sunshine in this time of darkness."
Volunteers have prepared a special lunch for residents on the day that would have been the opening of the town's annual festival.
Local resident Vincenzo Fortini says it was a wonderful gesture that has helped lift the town's spirits.
"This is a great opportunity to try and overcome our sadness from the earthquake. Today, we will eat and we will drink. Later, we will start to try to rebuild."
As the recovery mission transitions to clean-up in the coming days, hundreds of local residents -- like this man, Ascenzio Attenni -- are now considering what they will do next.
"It's really horrible, because it took me 20 years to get my house, and then, in just 10 seconds, it was gone, like so many others. It's really awful. But thank God, at least we're alive, because there were eight victims here at Sant'Angelo. We pulled out another four or five people with a group of some young men, otherwise there would have been more victims. So we have to thank God that we are alive."
Museums across Italy donated proceeds from their ticket sales on Sunday to help the rebuilding effort.
The country's top-flight football teams held a minute's silence before their weekend matches out of respect for the victims.
As work goes on, Italian authorities have announced they will launch an investigation to see if building codes were properly followed.
Investigators are focusing on a number of structures, including an elementary school in Amatrice that crumbled despite being renovated in 2012 to resist earthquakes.
The renovations cost 700,000 euros, or more than a million Australian dollars, but the building did not withstand the 6.2-magnitude quake.
Questions also surround a bell tower in Accumoli that collapsed.
It killed a family of four, including an infant, sleeping in a neighbouring house.
