Objectives Socioeconomic status differences in skeletal populations are often inferred from skeletal indicators of stress and burial location. However, to date, the association between osteometric parameters and spatial location in relation to socioeconomic status in medieval Italy has not been explicitly tested. Materials and Methods This study examined the spatial distribution of osteometric data in the medieval (8th–13th c.) cemetery of San Michele di Trino (Trino Vercellese, VC, Italy) to determine whether skeletal correlates of socioeconomic status correspond with privileged burial locations. Specifically, we tested the hypothesis that greater growth outcomes are associated with privileged burials located inside the church by examining osteometric data (femoral bicondylar length [N = 74], maximum tibial length [N = 62], and the sum of the two measurements [N = 59]) in a geographic information system (GIS) of the cemetery. Results Getis‐Ord G Hot Spot analysis identified significant (90% CI) spatial clustering of high osteometric values within the church, while low values clustered in areas of the cemetery farther from the church. These results, supported by the results of interpolation analyses, became more pronounced when z‐scores were calculated to combine the male and female samples and the analyses were repeated. Discussion Overall, the findings corroborate the observation that the spatial distribution of osteometric data reflects socioeconomic status differences within the population. This research exemplifies the advantages of integrating bioarchaeology and spatial analysis to examine mortuary behavior and health outcomes in highly stratified societies where access to resources is demarcated in both life and in death.