The Queen of Pop celebrated her milestone by realizing a long-held dream to watch the Palio horse race in Sienna, Italy

After taking in the race followed by an extravagant firework show, Madge was treated to an enormous pink cake topped with sparklers and a giant edible sculpture of a Labubu doll. "Happy birthday Madudu," read lettering at the base of the confection.

Madonna celebrated her 67th birthday in Italy with family, a VIP dinner, fireworks and a pink Labubu cake. However, fans expressed shock at her appearance, though many say it was the camera angles that made her look older than she is.