Availability: Mostly Germany and Italy, yes.

But as HiddenX says, the game itself is multi-lingual.

More info on the package itself:

The box blurb is all in German, as is the manual. (Google translate would be my friend, should I need it…) It also came with a neat dust cover…
Three stickers, a booklet with the concept arts from the game, a lovely little scroll map of the island, A comic book (in German), and a making of dvd (that has english subtitles.) A huge double sided poster - one that has developer signatures.

All in all, a great old-school feel to the package and very much worth it. It was the least I could do to say thanks for the experience.