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Best Italian Restaurants in Old Town

Price
Regions
Neighborhoods
Top Rated
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Seating Options
Award-winning
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142 restaurants available nearby

How are Featured results ranked

A photo of Trattoria Don Pietro restaurant
4.1
Excellent(893)
$$$$
• Italian • Old Town
Booked 3 times today
Our waiter was awesome and so was the food and wine!!
A photo of Jack & Giulio's Italian Restaurant restaurant
4.8
Exceptional(1266)
$$$$
• Italian • Old Town
Booked 2 times today
What a wonderful experience on Halloween night. Our host and waiter was happy to see us as restaurants on Halloween night--in the rain--in San Diego were not busy. The food and service were excellent as always. Love this place.
A photo of Cesarina restaurant
Icon
4.8
Exceptional(7026)
$$$$
• Italian • Ocean Beach
Booked 186 times today
This our favorite Italian spot, so we brought our family here that was visiting from out of town. Everyone loved it as much as we do. Our experience is always amazing here and the food never disappoints!
A photo of Bacari North Park restaurant
4.7
Exceptional(833)
$$$$
• Italian • North Park
Booked 149 times today
Absolutely incredible! The services, food and ambience was next level.
A photo of Seneca restaurant
Icon
4.6
Exceptional(6299)
$$$$
• Italian • Downtown
Booked 112 times today
Everything was delightful and perfect. I recommend this place if you want to enjoy a perfect night out
A photo of Cardellino restaurant
4.8
Exceptional(323)
$$$$
• Italian • Mission Hills
Booked 75 times today
Had a wonderful experience the food was on point as always, really enjoyed our time and meal.
A photo of Barbusa restaurant
4.6
Exceptional(4896)
$$$$
• Italian • Little Italy
Booked 81 times today
I just had apps but three of them and they were so delicious especially the Bone Marrow
A photo of North Italia - Fashion Valley restaurant
4.5
Awesome(3220)
$$$$
• Italian • Mission Valley
Booked 41 times today
Great experience overall, we celebrated our anniversary and they made sure to make it extra special, thank you !
A photo of Roman Wolves restaurant
4.7
Exceptional(803)
$$$$
• Italian • Little Italy
Booked 65 times today
What an amazing place. Kyle made the night super fun and special. A very nice patio and a very nice dining room, all well-decorated and cozy. Everything was delicious. The potato chips for free is a nice touch. The oxtail meatballs were so good. My salmon was perfect and my friend greatly enjoyed the lobster ravioli. Good sized portions of everything. Very reasonably priced and it was super quiet and easy to chat. Will be back!
A photo of By The Sea restaurant
4.5
Awesome(218)
$$$$
• Italian • Coronado
Booked 103 times today
We had such a wonderful time! The restaurant was beautiful, and the atmosphere was fun and perfect for celebrating a birthday with a big group. The food was delicious, and the service was absolutely awesome. Everyone made us feel welcome and taken care of throughout the evening. It was a great experience from start to finish, and we would definitely come back!

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See what locals rave about

From verified diners like you
From verified diners like you
  • Talor
    San Diego •5 reviews
    5.0
    Dined 3 days ago
    This our favorite Italian spot, so we brought our family here that was visiting from out of town. Everyone loved it as much as we do. Our experience is always amazing here and the food never disappoints!
    More info
    Cesarina$$$$• Italian• Ocean Beach
    •
    4.8
  • Hiroko
    San Diego •4 reviews
    5.0
    Dined 3 days ago
    It was an amazing experience 💝we loved it!! Everything was so beautiful and foods were delicious 🤤 Price was good I’ll for sure go back there again! Sea bass was my favorite I can eat 2 orders all by myself 😝
    More info
    Bacari North Park$$$$• Mediterranean• North Park
    •
    4.7
  • ShirleyGold
    Los Angeles •11 reviews
    5.0
    Dined 5 days ago
    What a wonderful experience on Halloween night. Our host and waiter was happy to see us as restaurants on Halloween night--in the rain--in San Diego were not busy. The food and service were excellent as always. Love this place.
    More info
    Jack & Giulio's Italian Restaurant$$$$• Italian• Old Town
    •
    4.8
  • Loan
    San Diego •1 review
    5.0
    Dined 7 days ago
    The service was excellent. Everyone was very welcoming and accommodating. We were there celebrating a special occasion and they all made it very special for us. The spaghetti carbonara is the best we ever had. Deep flavor with crispy pancetta in every bite. A must try. We highly recommend Seneca.
    More info
    Seneca$$$$• Italian• Downtown
    •
    4.6
  • Dr. KellyGold
    Chicago / Illinois •1 review
    5.0
    Dined on Oct 6, 2026
    Our waiter was awesome and so was the food and wine!!
    More info
    Trattoria Don Pietro$$$$• Italian• Old Town
    •
    4.1

Discover best Italian restaurants in Old Town

Explore authentic Italian dining in the heart of Old Town, San Diego, where a variety of restaurants offer a genuine taste of Italy. Each venue brings a unique flair to traditional Italian cuisine, utilizing both local ingredients and imported specialties from Italy to craft dishes that satisfy both classic and innovative culinary preferences. Patrons can expect a range of options, from wood-fired Neapolitan pizzas to meticulously crafted pastas and delightful gluten-free choices, all served in atmospheres that blend Italian charm with local culture. The dining scene in Old Town is noted for its high-quality service and inviting ambiance, making it a prime destination for both casual diners and food connoisseurs. These restaurants are celebrated for their commitment to authenticity, with chefs who boast extensive experience in Italian culinary traditions, ensuring every meal is both delicious and memorable. Ideal for family outings, romantic dinners, or a night out with friends, Old Town’s Italian eateries promise an exceptional dining experience that brings a slice of Italy to San Diego.

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