Top rated Italian restaurants in San Francisco

Experience the best that San Francisco has to offer with our curated list of top-rated places. Sorted by average review scores from venues boasting over 30 reviews, these establishments promise exceptional quality and experiences to elevate your visit in the city. This list contains 114 places from Italian restaurant category.

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Corks image
1
Corks
Wine bar
Charming neighborhood wine bar with New American small plates served in intimate quarters.
$$ $$
4.80 (92 reviews)
Heroic Italian San Francisco image
2
Heroic Italian San Francisco
Italian restaurant
Straightforward Italian takeaway serving deli sandwiches & salads, as well as wine.
$$ $$
4.80 (77 reviews)
Piccolo Forno image
3
Piccolo Forno
Italian restaurant
Casual neighborhood trattoria with Italian classics & espresso in colorful, contemporary quarters.
$$ $$
4.70 (1.3K reviews)
Seven Hills image
4
Seven Hills
Italian restaurant
Lively Italian eatery serving farm-to-table Roman fare with an inventive twist in a candlelit space.
$$$ $
4.70 (699 reviews)
Quince image
5
Quince
Fine dining restaurant
Celebrated, upscale destination delivering seasonal, locally sourced cuisine & wines.
$$$$
4.70 (568 reviews)
Little Original Joe's image
6
Little Original Joe's
Pizza restaurant
Specialty pizzas, pasta & other Italian dishes offered in a snug locale featuring a small market.
$$ $$
4.70 (375 reviews)
Birba image
7
Birba
Wine bar
Wine bar for European wines & small plates in a charming, narrow space with bar & patio seating.
$$ $$
4.70 (291 reviews)
Luisa's Restaurant Wine Bar Since 1959 On Guerrero image
8
Luisa's Restaurant Wine Bar Since 1959 On Guerrero
Italian restaurant
👍👍 Simply amazing! Handmade, pillowy soft gnocchi is hard to beat. Luisa is a wonderful host! 10 stars!
$$ $$
4.70 (55 reviews)
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9
Sotto Mare
Seafood restaurant
Neighborhood spot with nautical decor and a menu of pasta, cioppino, and other Italian-style seafood.
$$ $$
4.60 (3.8K reviews)
The Italian Homemade Company image
10
The Italian Homemade Company
Italian restaurant
Italian deli & market stocking housemade pasta, imported cheese, charcuterie & more in homey digs.
$ $$$
4.60 (2.7K reviews)
Cotogna image
11
Cotogna
Italian restaurant
Popular eatery serving spit-roasted and grilled meat & fish, wood-fired pizza and house-made pasta.
$$$ $
4.60 (1.6K reviews)
Montesacro Pinseria - SoMa image
12
Montesacro Pinseria - SoMa
Pizza restaurant
Industrial-chic enoteca for Roman-style pizza (called "pinsa") from a brick oven, plus wine & beer.
$$ $$
4.60 (1.4K reviews)
The Italian Homemade Company image
13
The Italian Homemade Company
Italian restaurant
Italian deli & market offering housemade pasta, imported cheese, charcuterie & more in homey digs.
$$ $$
4.60 (1.3K reviews)
Roma Antica image
14
Roma Antica
Italian restaurant
Welcoming neighborhood spot serving modern Italian eats & wine in petite digs with marble accents.
$$ $$
4.60 (1.2K reviews)
Betty Lou's Seafood & Grill image
15
Betty Lou's Seafood & Grill
Seafood restaurant
Bright, spacious bistro for oysters, chowder, pasta & seafood mains in old-world environs.
$$ $$
4.60 (1K reviews)
Little Star Pizza image
16
Little Star Pizza
Pizza restaurant
Busy chain outpost known for deep-dish pies with a cornmeal crust also turns out thin-crust pizza.
$$ $$
4.60 (1K reviews)
Trestle Restaurant image
17
Trestle Restaurant
New American restaurant
Restaurant offering 3-course fixed-price meals in a quaint space with modern flair.
$$ $$
4.60 (971 reviews)
Pizzetta 211 image
18
Pizzetta 211
Pizza restaurant
Compact pizzeria specializing in handcrafted thin-crust pies with seasonal ingredients.
$$ $$
4.60 (857 reviews)
Bella Trattoria image
19
Bella Trattoria
Italian restaurant
Housemade pastas are among the Italian classics served at this warm neighborhood trattoria.
$$ $$
4.60 (840 reviews)
Fino image
20
Fino
Italian restaurant
Italian eatery in The Andrews Hotel offering traditional dishes, a mahogany bar, a fireplace & more.
$$ $$
4.60 (784 reviews)
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