Then just this week, he has seen four of his ministers resign and now his Government, which is supposed to be agreeing a tough budget to tackle its debt, is said by many in Italy to be teetering on the brink and paralysed by indecision.
Opinion polls are hitting new lows, and Mr Berlusconi himself is said to be alone in one of his twenty homes, preparing for a crucial confidence vote in Parliament in three weeks’ time.
Channel 4 News spoke to former showgirl Patrizia D’Addario – the first woman to tell her story about Mr Berlusconi publicly.
She says she slept with Mr Berlusconi the night Barack Obama was elected President of the United States in 2008. She has also claimed that she and other women were paid to attend private parties with the Prime Minister.
“He is a life addict. He likes life. He likes women.” Friend of Italian Prime Minister Silvio Berlusconi
“Here was such a powerful man taking care of me,” she said. “But it turns out I was wrong…I was deluded.”
But Mr Berlusconi’s friend told Channel 4 News the Prime Minister is not a sex addict.
“He is a life addict,” he said. “He likes life. He likes women.”
Whatever Mr Berlusconi’s likes and dislikes, they could be finally catching up with him – and he doesn’t exactly get himself out of trouble when defending his predilections.