Single-phase-to-ground faults may cause substantial temporary overvoltages (TOVs) in large radial medium-voltage networks with isolated neutral, even over 3-p.u. phase to ground. Resonant neutral earthing limits these overvoltages to 1.8 p.u. but credible earthing apparatus failures might trigger TOVs up to 2.4 p.u. This paper presents the ground fault study of an Italian 20-kV ENEL Distribuzione network. Analytical evaluations in a wide parametric range of neutral earthing arrangements, include isolated neutral and ENEL resonant earthing with parallel resistance, as evidence of 2.4-p.u. TOVs with isolated neutral, 1.8 p.u. with resonant earthing, and more than 2.0 p.u. with partial compensation. Recordings of ground faults staged in the same network are presented, showing excellent agreement between analytical predictions and experimental test. The tests confirm TOVs of more than 2.3 p.u. with isolated neutral, sometimes evolving into cross-country faults (possibly explaining unforeseen cable fault rates), and the effectiveness of the ENEL neutral earthing practices in suppressing these TOVs.