Best Italian Restaurants in San Francisco (2026 Rankings)

Amarena is celebrated for its authentic Roman-style pizzas, featuring a light and airy crust. Beyond pizza, their pasta dishes are crafted with traditional recipes and fresh ingredients. It's a go-to for those craving a genuine taste of the Eternal City.

Piccolo Forno is a beloved neighborhood spot known for its wood-fired pizzas and hearty Italian classics. The lively atmosphere makes it perfect for a casual night out with friends or family. Expect generous portions and consistently delicious flavors.

Seven Hills offers a sophisticated dining experience with its refined take on Italian cuisine. Their handmade pasta and seasonal dishes showcase a commitment to quality ingredients. It's an ideal choice for a romantic dinner or a special occasion.

Serafina transports diners to a charming Italian countryside with its rustic decor and intimate setting. The menu features a delightful array of traditional dishes, from rich risottos to flavorful seafood. It's a perfect escape for an evening of authentic Italian comfort food.

Bocconcino offers a contemporary Italian dining experience with a focus on fresh, seasonal ingredients. Their diverse menu includes expertly prepared pizzas, pastas, and secondi. The stylish yet relaxed atmosphere makes it suitable for both casual meals and more celebratory gatherings.

This gem brings the comforting flavors of Italian home cooking to San Francisco. Specializing in fresh, handmade pasta and traditional sauces, it feels like dining in an Italian nonna's kitchen. Their commitment to authentic recipes and quality ingredients shines through in every dish.

Bella Trattoria provides a classic Italian dining experience with a warm and inviting atmosphere. Their menu boasts a wide selection of beloved Italian dishes, prepared with care and traditional techniques. It's a reliable choice for a satisfying and authentic Italian meal.

La Ciccia is a hidden treasure specializing in the unique flavors of Sardinia. This intimate restaurant offers a distinctive culinary journey with its focus on seafood and regional specialties. It's an excellent spot for adventurous eaters seeking something beyond typical Italian fare.

* This business has a high rating but fewer reviews than average. We include it as a "Hidden Gem" worth exploring.

Sfizio offers a modern and chic setting for enjoying contemporary Italian dishes. The menu features creative interpretations of classic flavors, with an emphasis on fresh, high-quality ingredients. It's a great choice for those looking for an upscale yet approachable Italian dining experience.

Beretta Valencia is a popular spot known for its delicious pizzas, creative cocktails, and lively atmosphere. Their thin-crust pizzas are a highlight, complemented by a robust menu of Italian-inspired small plates and entrees. It's a go-to for a vibrant night out with great food and drinks.