The official logo of the 2009 Mediterranean Games featured simple graphical illustrations of mountains and sea of the Abruzzo region, and the Marsican brown bear was chosen as the mascot of the Games.
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Former Prime Minister of Croatia and the president of the Croatian Olympic Committee Zlatko Mateša expressed his disappointment, "it just shows, once again, that small countries have no chance of competing with the big ones."
Pitharoulis played the 2009 Mediterranean Games for Greece in the Football Competition in Pescara, Italy.
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He played at the EuroBasket 2005 and he won the gold medal at the 2009 Mediterranean Games, where he was also voted the tournament's MVP.
With the senior Greek national basketball team, he won the silver medal at both the 2005 Mediterranean Games and the 2009 Mediterranean Games.
He was a member of the Croatian national team B, which won the gold medal at the 2009 Mediterranean Games in Pescara.
At the 2009 Mediterranean Games he was defeated in the semi final by Italian star Clemente Russo and won the bronze medal.