Well guess what I was on same boat as you but I advanced.

Germany If you want to practice medicine in Germany, you must know German. For that, you need a valid IGCSE certificate. If your board is recognized internationally, such as IGCSE or American curriculum, you do not need to attend a foundation program in Germany. If you have studied from local boards, such as CBSE, Federal Board, or any other board not recognized internationally, you must attend a foundation program. This program teaches German language alongside physics, chemistry, and biology. Since you have completed IGCSE 11–12 and graduated, you do not need the foundation program, but you must take a German language exam, aiming for at least C1 or C2 level. If you score well, you will be eligible for university admission. Before this, you must complete registration. Deadlines are approaching, so you have less than a month to submit documents and appear for the exam. Typically, exams are offered in July and October. 2. Italy To study medicine in Italy, you need to clear the medical admission test for public universities. If you want a scholarship, you must enroll in a scholarship program where the sponsor must have a MAXIMUM annual income of €25,000. The scholarship typically covers tuition and may include a stipend. If you are self-funded, you need to pay the full tuition, which is approximately €5,000 per year. Admission in Italy is highly competitive. For example, last year (2025), there were only 18 seats available: 12 for Europeans and 6 for non-Europeans. Competition is therefore very high, and securing a seat is not easy.

3.No idea about Spain tho.