2024 Best Italian Restaurants in San Francisco/Bay Area

Authentic Italian Food in San Francisco

Whether you're craving a simple plate of spaghetti and meatballs, or an osso buco that melts in your mouth, here are GAYOT's choices for the Top Restaurants for Italian Cuisine in San Francisco. These selections are presented in alphabetical order. Mangia!

> Also, check out GAYOT's:
- Best Italian Restaurants in East Bay
- Top Italian Restaurants in other cities
- Italian Wine Reviews
- Italian food terms that will help you decipher any menu
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Palio
13/20
Italian restaurant in the Financial District offering a menu ranging from pizza to spaghettini with Dungeness crab. See More

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Perbacco Ristorante + Bar
15/20
Stylish Italian restaurant deep in San Francisco’s money district. See More

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Piccino
13/20
Calculatedly rustic neighborhood hub draws local crowds for its thin-crusted pizzas. See More
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Seven Hills
14/20
Every dish is eye-popping at this neighborhood jewel with a deceptively humble vibe. See More

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Sotto Mare
13/20
Raw bar and fishermen’s daily catch specials in a charming old-school ambience. See More
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SPQR
14/20
Pacific Heights osteria from the team at A16 highlights the food and wine of Rome. See More
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Tony's Pizza Napoletana
14/20
Expect a wait --- but it's worth it for Tony Gemignani's pizza. See More
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Zero Zero
14/20
This SoMa pizza place sets a high bar that even extends to desserts. See More
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