: Around 2012, Tommasi entered the adult film industry. She later revealed in interviews with outlets like Vanity Fair and Corriere della Sera that this period was a result of a mental health "abyss".

The mid-2010s marked a drastic shift in Tommasi's public image. It was during this time that content labeled "Confessioni Private" and other adult titles began appearing on streaming platforms. However, this period is now viewed through a much more somber lens.

The impact of Sara Tommasi and her "Confessioni Private" on the Italian media landscape is multifaceted. On one hand, she has been praised for her courage in sharing her personal stories, contributing to a more open discussion about topics that are often considered taboo. On the other hand, her approach has also been criticized, with some viewing her actions as overly provocative or attention-seeking.