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Quadarella competed in the women's 1500 metre freestyle event at the 2017 World Aquatics Championships, winning the bronze medal. After her international explosion, which took place in 2017 at the age of 19, Simona Quadarella won 9 international medals in the two-year period 2017-2018 (7 gold and 2 bronze), including a trio of gold medals at the 2018 European Aquatics Championships in 400 m, 800 m and 1500 m freestyle.
Than in July 2019, Quadarella won her first world title at the World Championships in Gwangju, taking gold in the 1500 m in a time of 15:40.89. She also won a silver medal in the 800 m race in a time of 8:14.99.
At the European Championships in Budapest 2020, held in May 2021 due to the COVID-19 pandemic, Quadarella won three gold medals (400 m, 800 m, 1500 m freestyle - the same feat achieved three years earlier in Glasgow 2018) and a bronze medal in the 4x200m freestyle. In July 2021, at the 2020 Summer Olympics, which were also postponed to 2021 due to the pandemic, she won the bronze medal in the 800 metre freestyle with a time of 8:18.35.
At the 2022 European Aquatics Championships, held two months later in Rome, Quadarella won the gold medal in the 800 metre freestyle with a time of 8:20.54. The title was her third-consecutive in the 800 metre freestyle at LEN European Aquatics Championships and was the first time a female swimmer achieved the title in the event three times in a row. Three days later, she won the gold medal in the 1500 metre freestyle with a time of 15:54.15. The win marked her third-consecutive gold medal in the event at LEN European Aquatics Championships. Her medal also brought her total number of gold medals won at LEN European Aquatics Championships to eight, setting a new record for the most gold medals won by a female Italian swimmer over the course of their career at the Championships. The final day, she won the silver medal in the 400 metre freestyle, finishing behind gold medalist Isabel Marie Gose of Germany with a time of 4:04.77.