The unit trained from July to October 1943 for operations with the Twelfth Air Force. It resumed combat on 30 October 1943 and directed most of its attacks against roads, bridges, motor transport, supply areas, rolling stock, gun positions, troop concentrations, and rail facilities in Italy until August 1944. During the assault on Anzio in January 1944, it patrolled the beaches and protected convoys. It aided the Allied offensive in Italy during May 1944, receiving another DUC during the Battle of Monte Cassino for action from 12 to 14 May when the group bombed an enemy position on Monastery Hill, attacked troops massing on the hill for counterattack, and hit a nearby stronghold to force the surrender of an enemy garrison.