When considering a regional context, most adjusting mechanisms at work in open economy Stock-Flow Consistent models-such as exchange rate movements, or changes in interest on public debt-are not present, as they are in control of "external" authorities. So, how does a regional system with "current account" imbalances adjust? To answer this question, we adapt the framework suggested in Godley-Lavoie (2007a) to consider two regions that share the same monetary, fiscal, and exchange rate policies. The model-loosely calibrated over Italian data, with the introduction of a fragmented labour market-replicates some key features of the Italian economy, and sheds light on the interactions between financial and real markets in regional economies.