The present paper has three closely related aims. We first argue that Agazzi’s scientific realism about Quantum Mechanics is in line with Selleri’s and Tarozzi’s proposal of Quantum Waves. We then go on to formulate rigorously different metaphysical principles such as property compositional determinateness and mereological extensionalism. We argue that, contrary to widespread agreement, realism about Quantum Mechanics actually refutes only the former. Indeed we even formulate a new quantum mechanical argument in favor of extensionalism. We conclude by noting that, (...) given the results of the work, Agazzi’s particular attitude towards Quantum Mechanics is still one of the most promising theoretical perspectives. (shrink)