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Impressive building in Romanesque style with gothic elements in the upper part, is located in the heart of Teramo and towers between Piazza Martiri della Libertà (the central square of the city) and Piazza Orsini, where the main entrance is located. Its construction was started in 1158 at the behest of Bishop Guido II to preserve the relics of San Berardo, Patron of Teramo and was completed in 1174.
This first body is also known as "guidian ship" and has internally three naves with columns that alternate with pillars. Beyond the transept, placed at a higher level is the body added in 1332-1335 at the behest of the Bishop Niccolò degli Arcioni and therefore known as the "Arcionian ship", divided into six spans with pointed arches. In the eighteenth century the structure was further enlarged due to the addition of the Chapel of San Berardo, while the renovations carried out between 1932 and 1935 brought it back to its original characteristics. In 1933 it was dedicated to Santa Maria Assunta.
The Cathedral is completed by an imposing and valuable bell tower with a square base and 50 meters high that ends with a beautiful cusp. The lower part was built between the twelfth and thirteenth centuries, in the fourteenth century the intermediate and finally in 1493, by Antonio da Lodi, the final part with the octagonal crowning lightened by mullioned windows and oculi surrounded by majolica.
Inside the Cathedral there are real masterpieces including the Chapels of San Berardo and the Santissimo Sacramento, the silver frontal of Nicola da Guardiagrele made between 1433 and 1448 placed in front of the main altar, the marble aedicule of Antonio da Lodi, the wooden altar of the Chapel of the New Sacristy (1594-1632) in which seventeenth century paintings by Sebastiano Majewski, the polyptych of Jacobello del Fiore placed on the Baroque altar of the Chapel of San Berardo and, at the end of the apse area, a remarkable round window with polychrome glass and drawing by Duilio Cambellotti.