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 106 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) (~3.96 km from centre)
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) (~2.53 km from centre)
Piccolo Forno image
3
Piccolo Forno
Italian restaurant
Casual neighborhood trattoria with Italian classics & espresso in colorful, contemporary quarters.
$$ $$
4.70 (1.3K reviews) (~2.58 km from centre)
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.
$$$ $
4.70 (699 reviews) (~2.13 km from centre)
Quince image
5
Quince
Fine dining restaurant
Celebrated, upscale destination delivering seasonal, locally sourced cuisine & wines.
$$$$
4.70 (568 reviews) (~2.52 km from centre)
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6
Birba
Wine bar
Wine bar for European wines & small plates in a charming, narrow space with bar & patio seating.
$$ $$
4.70 (291 reviews) (~0.4 km from centre)
Luisa's Restaurant Wine Bar Since 1959 On Guerrero image
7
Luisa's Restaurant Wine Bar Since 1959 On Guerrero
Italian restaurant
👍👍 Simply amazing! Handmade, pillowy soft gnocchi is hard to beat. Luisa is a wonderful host! 10 stars!
$$ $$
4.70 (55 reviews) (~2.68 km from centre)
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8
Sotto Mare
Seafood restaurant
Neighborhood spot with nautical decor and a menu of pasta, cioppino, and other Italian-style seafood.
$$ $$
4.60 (3.8K reviews) (~2.52 km from centre)
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9
The Italian Homemade Company
Italian restaurant
Italian deli & market stocking housemade pasta, imported cheese, charcuterie & more in homey digs.
$ $$$
4.60 (2.7K reviews) (~2.61 km from centre)
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10
Cotogna
Italian restaurant
Popular eatery serving spit-roasted and grilled meat & fish, wood-fired pizza and house-made pasta.
$$$ $
4.60 (1.6K reviews) (~2.5 km from centre)
Montesacro Pinseria - SoMa image
11
Montesacro Pinseria - SoMa
Pizza restaurant
Industrial-chic enoteca for Roman-style pizza (called "pinsa") from a brick oven, plus wine & beer.
$$ $$
4.60 (1.4K reviews) (~0.91 km from centre)
The Italian Homemade Company image
12
The Italian Homemade Company
Italian restaurant
Italian deli & market offering housemade pasta, imported cheese, charcuterie & more in homey digs.
$$ $$
4.60 (1.3K reviews) (~2.28 km from centre)
Roma Antica image
13
Roma Antica
Italian restaurant
Welcoming neighborhood spot serving modern Italian eats & wine in petite digs with marble accents.
$$ $$
4.60 (1.2K reviews) (~2.97 km from centre)
Betty Lou's Seafood & Grill image
14
Betty Lou's Seafood & Grill
Seafood restaurant
Bright, spacious bistro for oysters, chowder, pasta & seafood mains in old-world environs.
$$ $$
4.60 (1K reviews) (~2.42 km from centre)
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15
Little Star Pizza
Pizza restaurant
Busy chain outpost known for deep-dish pies with a cornmeal crust also turns out thin-crust pizza.
$$ $$
4.60 (1K reviews) (~1.6 km from centre)
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16
Trestle Restaurant
New American restaurant
Restaurant offering 3-course fixed-price meals in a quaint space with modern flair.
$$ $$
4.60 (971 reviews) (~2.34 km from centre)
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17
Bella Trattoria
Italian restaurant
Housemade pastas are among the Italian classics served at this warm neighborhood trattoria.
$$ $$
4.60 (840 reviews) (~3.61 km from centre)
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18
Fino
Italian restaurant
Italian eatery in The Andrews Hotel offering traditional dishes, a mahogany bar, a fireplace & more.
$$ $$
4.60 (784 reviews) (~1.2 km from centre)
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19
Capo's
Italian restaurant
Speakeasy-like Italian restaurant & bar specializing in Chicago-style pies & handcrafted cocktails.
$$ $$
4.60 (733 reviews) (~2.39 km from centre)
La Ciccia image
20
La Ciccia
Italian restaurant
Tiny, rustic spot serving homemade spaghetti, octopus stew & other Sardinian eats plus myriad wines.
$$$ $
4.60 (638 reviews) (~4.17 km from centre)
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