It remains very difficult to get a metv visa now. Before it was much simpler. Now only in Rome they issue visas and it takes three days of time!! Before I went to Genoa which was closer to home and in three hours they gave me the visa. They also ask to pay for six months' health insurance before you make your visa and tell you not to buy your ticket before you have your visa. They tell you to only make a presentation of the ticket that only a travel agency can do.
TLDR : Answer Summary
Obtaining a METV (Multiple Entry Tourist Visa) for Thailand has become significantly more challenging, particularly as many Thai consulates closed during COVID-19. Currently, only the main embassies, like the one in Rome, are issuing visas, which can take up to three days. Previously, it was easier to obtain the visa from smaller consulates, such as in Genoa. Applicants are now also required to purchase six months of health insurance upfront and are advised against booking tickets prior to visa approval. Consulates may have varying rules regarding necessary documentation for tourist visas, further complicating the process.