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 113 places from Italian restaurant category.

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La Ciccia image
21
La Ciccia
Italian restaurant
Tiny, rustic spot serving homemade spaghetti, octopus stew & other Sardinian eats plus myriad wines.
$$$ $
4.60 (638 reviews) (~4.17 km from centre)
Pazzia Ristorante Italiano image
22
Pazzia Ristorante Italiano
Italian restaurant
Small, casual eatery for thin-crust pizza, housemade pastas & other traditional Italian dishes.
$$ $$
4.60 (589 reviews) (~1.98 km from centre)
Acquerello image
23
Acquerello
Northern Italian restaurant
High-end Italian cuisine & wines served in a converted chapel with vaulted, wood-beam ceilings.
$$$$
4.60 (515 reviews) (~1.4 km from centre)
Sorrel image
24
Sorrel
Californian restaurant
High-end seasonal Cal-Italian mains, plus wine & low-ABV cocktails, in chic, minimalist surrounds.
$$$ $
4.60 (413 reviews) (~2.53 km from centre)
Amarena image
25
Amarena
Italian restaurant
Traditional Italian fare like homemade pasta & hearty veal dishes served in an intimate space.
$$ $$
4.60 (378 reviews) (~2.11 km from centre)
Ristorante Milano image
26
Ristorante Milano
Italian restaurant
A tiny, modern-looking standby for Northern Italian classics led by gnocci & other housemade pastas.
$$$ $
4.60 (355 reviews) (~1.83 km from centre)
Frascati image
27
Frascati
Italian restaurant
Seasonal Californian-Mediterranean cuisine in a cozy, dimly lit 2-floor space with cable car views.
$$$ $
4.60 (355 reviews) (~2.15 km from centre)
Heirloom Café image
28
Heirloom Café
Californian restaurant
A standout wine list pairs with Californian-Mediterranean fare at this bistro with a convivial vibe.
$$$ $
4.60 (342 reviews) (~2.47 km from centre)
Bravado, Italian Coffee Bar And Lounge image
29
Bravado, Italian Coffee Bar And Lounge
Cafe
Stylish, loungelike cafe with espresso, pastries, craft beer & wine, plus light breakfast & lunch.
$ $$$
4.60 (342 reviews) (~2.51 km from centre)
Sociale image
30
Sociale
Italian restaurant
Northern Italian eatery serving seasonal fare in an intimate setting accessed via a side alley.
$$$ $
4.60 (262 reviews) (~3.05 km from centre)
InoVino image
31
InoVino
Wine bar
Italian-centric wines, by the glass or in mini decanters, with salumi & cheeses in a slick boîte.
$$ $$
4.60 (254 reviews) (~3.05 km from centre)
Abrazo image
32
Abrazo
Seafood restaurant
Intimate neighborhood hideaway for wine & modern Spanish shared plates by Michael Pawlik (Frascati).
4.60 (171 reviews) (~2.26 km from centre)
Pasta Supply Co image
33
Pasta Supply Co
Italian restaurant
👍👍 This was a perfect Sunday night meal for a casual date or catch up with friends. The pastas were superb, especially the lobster butter spaghetti. The broccoli was done with amazing light sauce that I’m still thinking about. I don’t like broccoli but I enjoyed it here. The burrata is worth the calor...
4.60 (134 reviews) (~3.71 km from centre)
Tony's Pizza Napoletana image
34
Tony's Pizza Napoletana
Pizza restaurant
Bustling Italian eatery with varied pizza options from coal-fired to Roman-style, plus beer on tap.
$$ $$
4.50 (7.3K reviews) (~2.56 km from centre)
Scoma's Restaurant image
35
Scoma's Restaurant
Seafood restaurant
Spacious waterfront restaurant serving seafood pulled straight off the boat.
$$$ $
4.50 (5.5K reviews) (~3.33 km from centre)
Original Joe's image
36
Original Joe's
Italian restaurant
Neighborhood fixture serving traditional, old-school Italian entrees, steaks, and seafood.
$$ $$
4.50 (2.8K reviews) (~2.53 km from centre)
Beretta Valencia image
37
Beretta Valencia
Italian restaurant
Handcrafted pizzas, small bites & unique cocktails keep this trendy spot hopping.
$$ $$
4.50 (2.3K reviews) (~2.8 km from centre)
Flour + Water image
38
Flour + Water
Italian restaurant
Handcrafted Italian grub, including pasta & wood-fired pizza, served in a casual, rustic space.
$$$ $
4.50 (1.4K reviews) (~2.33 km from centre)
Piccino image
39
Piccino
Italian restaurant
Contemporary restaurant with a seasonally driven menu, a curated wine list & craft cocktails.
$$ $$
4.50 (1.1K reviews) (~3.55 km from centre)
Rocco's Cafe image
40
Rocco's Cafe
Italian restaurant
Family-owned Italian restaurant & bar serving large portions of classic pastas, sandwiches & more.
$$ $$
4.50 (1K reviews) (~1.06 km from centre)
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