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Simple Summary: In Valdichiana, an agricultural area of Tuscany (C Italy), an antique landrace of elephant garlic (A. ampeloprasum L.) locally known as "Aglione della Valdichiana" has been cultivated for a long time, and has been recently recognized as a traditional agri-food product of Tuscany and of Italy. Two methods of cultivation of elephant garlic are currently in use in Valdichiana: conventional and organic, the latter not making use of mineral fertilizers and chemical pesticides, even if the cultivation of elephant garlic is a low impact one. This paper aimed at testing if there are differences in the mineral and nutraceutical profiles of elephant garlic cultivated conventionally and organically in the Valdichiana area. Our results indicated only small differences and no evidence of healthier food or superior nutraceutical quality for organically grown elephant garlic. In the Valdichiana area (Tuscany, Italy) an ancient native landrace of elephant garlic (Allium ampeloprasum L.), locally known as "Aglione della Valdichiana", has long been cultivated. The aim of this study was to check whether there are differences in the mineral and nutraceutical profiles of the Aglione della Valdichiana cultivated conventionally and organically. Based on the analysis by ICP-MS of a wide array of major, minor, essential, and non-essential trace elements as well as rare earth elements, and the evaluation of the content of polyphenols, flavonoids, antioxidants, soluble proteins, soluble sugars, and starch, as well as the weight and water content, it was concluded that differences in the mineral and nutraceutical profiles of organically and conventionally grown bulbs were very limited. Only a statistically (p < 0.05) higher concentration of Cd (+2620%), Co (+113%), Mn (+55%), Rb (+180%), and Sb (+180%), as well as glucose (+37%) in conventionally cultivated bulbs emerged. Cadmium was the only element slightly higher than in the "reference plant," but with a negligible risk (three orders of magnitude lower) for human health based on consumption. It is concluded that we failed to find evidence of healthier food or a higher nutraceutical quality for organically cultivated elephant garlic. [ABSTRACT FROM AUTHOR]