The 1991 Eurovision Song Contest was supposed to be held in the seaside resort San Remo which is known for its annual festival of Italian music, but host broadcaster RAI moved it to Rome at a very late stage due to ongoing instability in the Balkan region. For the second time since the very first Eurovision Song Contest in 1956, the Netherlands decided to withdraw from the contest due to the country's Remembrance Day. Malta took the open spot which meant that the country was back for the first time since 1975.
The contest was presented by Toto Cutugno, who won for Italy the previous year. Toto was joined on stage by Italy's other winner, Gigliola Cinquetti, who won the contest in 1964. For the majority of the show the presenters spoke solely in Italian.
At the end of the voting procedure both Sweden and France had 146 points each. The tie-break rule that was introduced in 1989 was therefore put into effect. France and Sweden both had the same amount of 12 points so the amount to 10 points was included. Sweden received more sets of 10 points and so was declared the winner. Carola had already participated in 1983 with the song Främling which finished third. She had already tried to enter the 1990 contest in Zagreb but lost out in the Swedish national heats. In 2006 she participated once again and finished in 5th place with Invincible.