According to the Directive 2007/43/EC, broiler farms can house animals up to 39 kg/m², provided that specific environmental requirements are met. However, limited information is available about the effects of stocking density (SD) on broiler health and welfare, including the need for antimicrobial use. In this study, annual data on mortality, feed conversion rate, and antimicrobial use (AMU) are compared between broiler farms with stocking densities of 39 kg/m² (N = 257) and 33 kg/m² (N = 87). These farms were distributed throughout Italy and belonged to the same integrated poultry company. Antimicrobial use data were obtained from each farm and production cycle; AMU was expressed using the defined daily doses (DDD) method proposed by EMA. The annual AMU per farm was calculated as the median AMU over all cycles. Stratified analysis by sex and geographical area (Italy vs Northern Italy) showed no significant effect of stocking density on broiler mortality, feed conversion rate, and AMU. However, a higher AMU variability among farms with 39 kg/m² stocking density vs. those with 33 kg/m² was found. This study indicates that AMU does not apparently vary between animals reared at different stocking densities in intensive farms.