Diners' Choice: Italian restaurants in San Francisco

OpenTable

Updated April 05, 2025

Looking for restaurants with the best overall Italian cuisine in San Francisco? You’re in the right place. Each month OpenTable analyzes more than 400,000 new diner reviews. We sort the results by category to help you discover new favorites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!

Caffe Macaroni

4.9

4.9 (725)

$30 and under

Italian

North Beach

About the restaurant

Chef & co-owner, Mario and his delightful wife, Stephanie, have a knack for making you feel as if they are cooking and serving just for you at this super-reasonable North Beach nook offering robust Southern Italian fare reminiscent of his native Naples; whether you’ve snagged an outdoor table or are in the small, casual interior, it delivers a pasta fix. The menu changes daily to ensure freshness.

Top review

AudreyVIP

Dined today

Caffe Macaroni is a favorite spot for us. We love the vibe — the interior is warm and joyful as are the proprietors. The menu is creative and delicious — the food hits the spot! Great location at the intersection of North Beach and Jackson Square.

Seven Hills

4.9

4.9 (2508)

$31 to $50

Italian

Russian Hill

About the restaurant

Welcome to Seven Hills. We are a rustic neighborhood bistro offering regional Italian food, located in the Russian Hill Neighborhood of San Francisco. We serve great fresh affordable food. Our emphasis is on homemade pastas. Our wine list is small but extremely well thought out and complements our cooking style. We look forward to taking care of you and your guests. If you can not find what you are looking for online please call us directly at the restaurant. See you soon!

Top review

SusannahVIP

Dined on Apr 19, 2025

Fabulous staff, fabulous service, extremely elegant food

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4.8

4.8 (293)

$31 to $50

Italian

SOMA

About the restaurant

Authentic Tuscan restaurant serving seasonal Italian fare with all the convivial charm and allure of the Florentine neighborhood of San Frediano.

Opened in 1998 and located in the heart of what was then considered the city’s industrial warehouse district, tucked away on SoMa's Third Street, PAZZIA's buzzing dining room and outdoor patio quickly became a local favorite and destination spot for those “in the know”.

From fresh house made pasta, thin crust pizza, grilled meats and seasonal specialties to classic Italian aperitivo cocktails and convivially energetic Italian staff, PAZZIA is the perfect spot for a date night, family gathering, office function or delicious night out with friends.

PAZZIA offers indoor seating in a spacious dining room with banquette seating and views of the open kitchen, a more intimate lounge room with bar seating and tables around a fireplace and sheltered outdoor tables with heat lamps along the wide front patio.

Top review

JoyVIP

Dined 1 day ago

The food was excellent as well as the service. However the noise level was very high which lead my dining companions and I to nearly shout in order to conduct a conversation. Also, the dining room is so small that it is difficult for the wait staff to serve as well as the customers to move around.

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Popular dish

Pazzia

Popular dish

Linguine alle Vongole

Cafe Tiramisu

4.8

4.8 (1582)

$31 to $50

Italian

Financial District / Embarcadero

About the restaurant

We are offering our food and services in a new way, one that safely creates jobs for our employees, and still provides that quintessential experience only Cafe Tiramisu can.
At Café Tiramisu our pasta and salads as a takeaway experience with authenticity, carefully selected ingredients for maximum taste and freshness to provide healthier options for all of our customers to satisfy vegan, and vegetarian options! ready to be collected or delivered to you.
Remember to save room for one (or more) of our dessert options.

Top review

Tony

Dined 7 days ago

Everything that should be true about dining out is a reality at Cafe Tiramisu. The whole experience from service, ambience, food, and hospitality are just first class in a relaxed atmosphere. A better Italian meal than any other location you might try in North Beach several blocks away. Belden Place is a hidden jewel in the shadow of the BofA building.

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Popular dish

Tiramisu 'Pick Me Up'

Pizzeria Delfina - Pacific Heights

4.8

4.8 (125)

$30 and under

Italian

Pacific Heights

About the restaurant

Pizzeria Delfina is a pizzeria that combines the pizza culture of Naples, Italy with that of modern New York City. Neapolitan pizza is a very specific type of pizza, as is that of New York City. By combining the best elements of both, Pizzeria Delfina has created a style of pizza that is all its own. James Beard Award winners Annie and Craig Stall created this restaurant as a way to fuse their two favorite locales and flavors.Pizzeria Delfina's pizza recipes include both classic recipes and new interpretations. There is the traditional panna pizza with tomato sauce, cream, basil and shaved parmesan as well as the clam pie with cherrystones, oregano, tomato, pecorino romano and hot peppers.

Top review

SusanVIP

Dined on Mar 21, 2025

The salad was great! The pizza was great! The dessert was great! The service was great! Kudos!

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Experience

Birdhorse Wines x Pizzeria Delfina BTG Takeover

Serafina SF

4.8

4.8 (485)

$31 to $50

Italian

Downtown / Union Square

About the restaurant

Serafina is a little gem of a restaurant, perched on top of Nob Hill, with views overlooking the city and Bay Bridge. We were recently awarded the prestigious Gambero Rosso as one of the best Italian restaurants in the US. Serafina was owner Maurizio Bruschi’s grandmother, and the name of her eponymous restaurant in the heart of Trastevere (Rome), where Maurizio first began making pizza at the age of 14. The executive chef is Umberto Cannarsa, a successful chef from Rome, who left his own restaurant in Rome to work with Maurizio again. The menu offers everything, including vegetarian options, but specializes in innovative Italian fish dishes, including fresh calamari, stuffed with olives, escarole, anchovies, drizzled with a potato leek sauce, as well as homemade pastas and dolci. The space is warm and elegant, where neighbors and friends can come together.

Top review

Camila

Dined 7 days ago

This was incredible. The food was out of this world, similar to what one would eat in Italy itself! Very good customer service and incredible atmosphere! Super recommend!

Lupa Trattoria

4.7

4.7 (1087)

$30 and under

Italian

Noe Valley

About the restaurant

Situated in the congenial San Francisco neighborhood of Noe Valley, Lupa is a classic Italian trattoria with comfortable neighborhood charm, affordable prices, and destination-caliber cuisine. Using the best available local ingredients, Chef Stefano Coppola creates a seasonal menu featuring classic dishes from his home in Rome.

The menu is based on the Italian tradition of preparing food - combining simplicity with the best ingredients of the season, including quality olive oil, locally grown local vegetables and fruits, and seasonal specials of seafood, poultry, meat and game. Our bread and pastas - gnocchi, tagliatelle, pappardelle, tortelloni, and ravioli are homemade on premise.

In addition to the regular menu, our specials menu features different soups, antipasti, pastas, and main courses.

Beyond a passion for authentic Roman cuisine, our friendly Italian staff work from their hearts to make your visit comfortable and enjoyable.

Top review

Francesco

Dined on Apr 18, 2025

Great food and ambience. The host and the staff made us feel like we were back at home in Italy.

Frascati

4.9

4.9 (2600)

$31 to $50

Italian

Russian Hill

About the restaurant

Frascati is a Mediterranean style bistro, located in one of San Francisco’s most desirable neighborhoods – Russian Hill. When a guest walks through the door of Frascati, he or she is initially treated to a friendly and comfortable dining room. Frascati encompasses a truly European aura, but is also a cozy, San Francisco neighborhood bistro. This tri-level restaurant features warm colors, high ceilings, antique light fixtures and street views of cable cars clanging up and down Hyde Street. The natural light and energetic atmosphere all convey a lively spirit.

Our cuisine is inspired from the Mediterranean coast and has strong Californian influences. The menu shifts frequently to utilize the best and freshest ingredients any season has to offer. Also, we pride ourselves on all of our house made desserts and ice creams.

Of equal importance, Frascati has become known for having an eclectic wine list which nicely complements the food.

Top review

Maria EVIP

Dined on Apr 17, 2025

From the moment we walked in, the hosts, waiter, and bartender were so welcoming! That is the norm. The food is delicious and the wine cost is reasonable. This is my local place. Once we settle in with a glass of bubbly, we raise it to the cable car passengers who wave back and probably wish they were eating there!

Uva Enoteca

4.9

4.9 (894)

$31 to $50

Italian

Haight

About the restaurant

The New Uva is an Italian restaurant and pizzeria. We focus on specialties from Puglia, a region in southern Italy ( the heel of the boot).

Immerse yourself in the rich culinary heritage of Puglia with our carefully crafted dishes like Orecchiette with Cime di Rape (broccoli rabe) and Eggplant Parmigiana (mamma recipe). In addition to our Pizza Pugliese and Puccia Pugliese.

Our Apulian dough is made of a selection of durum wheat from Altamura with a low glycemic index and soft wheat from live wheat germ rich in vitamins from Orta Nova (Gargano). Our dough is very light, thin, and very digestible.

Join us for an authentic culinary journey through Puglia, where each dish tells a story of tradition and taste.

We also feature an all Italian wine list showcasing small Italian producers.

We look forward to serving you.

Ciao

Top review

Austin

Dined on Apr 15, 2025

I'm so happy to have come across Uva Enoteca. All of the dishes that we tried were delicious and well-prepared. Our server was attentive, kind, and patient. I will definitely return!

Itria

4.7

4.7 (151)

$31 to $50

Italian

Mission District

About the restaurant

Itria is a Modern Italian restaurant brought to you by Chef Daniel Evers and Omakase Capital. The name comes from the Syriac word 'itriya,' used by Arab geographer al-ldrisi to describe a type of dried pasta he saw in Sicily during the 12th century. The origins of this term are much older, however, with varying versions of it found in ancient records across the Mediterranean and Middle-East. The name reflects just a small piece of the evolution of Italian cuisine as a confluence of global influences. Our goal is to build on the foundations of classical Italian cooking to create a dining experience that respects tradition without being overly constrained by it.

Top review

TheresaVIP

Dined on Apr 17, 2025

I love this place and every meal continues to delight me. The staff is kind and knowledgeable.

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