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The Best Italian Restaurants in San Francisco

Nobody should be surprised that San Francisco is home to some of the most authentic Italian fare outside of the boot-shaped peninsula. After all, the North Beach neighborhood is the most-visited Little Italy in the entire United States. Nowadays, Italian eateries can be found all over San Francisco, as the Mediterranean climate and plentiful bounty of Northern California allow for the creation of Old World dishes with local ingredients. But where are the smartest, savviest diners eating out? Welcome to our Tastemaker Lists. We’ve pulled data from thousands of restaurants to find the top spots for Italian food in San Francisco among OpenTable's most expert, seasoned diners. You'll find everything from historic neighborhood dives to white table-clothed splendor, all vetted by the types of tastemakers who know the best spots around the city. Impress your friends and family and score a table; we wish we could join you.

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The OpenTable Team
8 Restaurants
Updated January 29, 2021
Restaurants:Jackson Fillmore Trattoria, North Beach Restaurant, Lupa Trattoria
Price Range:$$ - $$$$
Cuisines:Italian
Neighborhoods:Pacific Heights, North Beach, Noe Valley
A photo of Jackson Fillmore Trattoria restaurant

Jackson Fillmore Trattoria

$$$$
Italian
Pacific Heights
4.5
1144 reviews
A Pacific Heights local favorite since it opened its doors back in 1985, the Jackson Fillmore Trattoria is a cozy and classic Italian food restaurant with a large wine list. Expect hearty traditional Italian mains like Pollo al Noci, chicken with pine nuts, walnuts, mushrooms, sherry, and a touch of cream, and a full list of pastas and antipasto starters. One of the best Italian restaurants in San Francisco, according to both critics and locals, the Jackson Fillmore Trattoria actually has its roots in New York City's Little Italy, where the chef cut his teeth before moving his operation here.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of North Beach Restaurant restaurant

North Beach Restaurant

$$$$
Italian
North Beach
4.7
2633 reviews
Serving authentic Tuscan cuisine in the heart of the North Beach neighborhood since 1970, the North Beach Restaurant is a landmark in San Francisco’s dining scene. Visitors can choose between four different art-lined dining rooms in which to enjoy dishes like Calamari Livornese or the chef’s special, Abalone Dore. North Beach Restaurant is also known for their extensive house dessert menu, which includes items like both hot and cold Zabaglione, a traditional Italian light custard made with egg yolks, sugar, and a sweet wine or cognac.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Lupa Trattoria restaurant

Lupa Trattoria

$$$$
Italian
Noe Valley
4.7
880 reviews
Located in the quiet Noe Valley neighborhood of San Francisco, Lupa Trattoria focuses on the cuisine of Italy’s most famous culinary destination itself: Rome. All breads and pastas are made on-site at Lupa, and the secondis (mains) focus on succulent meats, like the pan-roasted duck breast in marsala sauce served with grilled asparagus. Named after the wolf that nursed the twins that founded Rome, Romelo and Remo, Lupa Trattoria is run by chef Stephan Coppolo, a transplant from the Eternal City to the City by the Bay.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Barbacco restaurant

Barbacco

$$$$
Italian
Financial District / Embarcadero
4.6
2459 reviews
A financial district culinary hot spot, Barbacco does both small and large plates from different regions of Italy that are served at long communal tables where getting to know your dining neighbors is mandatory. From the Sicilian pork meatballs to the gluten-free corn fusilli served with pomegranate and fried sage, Barbacco combines the traditional with Californian produce to create instant favorites.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Il Borgo restaurant

Il Borgo

$$$$
Italian
Civic Center / Hayes Valley / Van Ness
4.5
551 reviews
Unpretentious despite its posh Hayes Valley location, Il Borgo sports checkered tablecloths and handpainted walls that harken back to the Italian countryside. The portions of handmade pasta, including gorgonzola gnocchi and lobster ravioli, are the stars of the show here, while the full pours on wines by the glass keep regulars happy and glowing.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Il Posto Trattoria restaurant

Il Posto Trattoria

$$$$
Italian
Napa
4.5
1683 reviews
One of the stand-out Italian options in wine-soaked Napa Valley, Il Posto Trattoria does Old World classics in a casual setting. Mains here are mostly handcrafted takes on Italian favorites like chicken marsala and eggplant parmagiana, although a gluten-free homemade pasta list is intended to entice those who traditionally shy away from Italian fare.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Bellanico Restaurant and Wine Bar restaurant

Bellanico Restaurant and Wine Bar

$$$$
Italian
Oakland
4.8
1827 reviews
A restaurant and wine bar located in the Oakland Hills, Bellanico is popular for its creative tasting menus, which include wine matches, at breakfast, lunch, and dinner. Besides the popular tasting menus, Bellanico also offers a variety of starters, pastas, cheese plates, and creative mains—like the prosciutto-wrapped petrale sole served with grilled vegetables and pine nuts.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

A photo of Portola Kitchen restaurant

Portola Kitchen

$$$$
Italian
Portola Valley
4.4
807 reviews
Located in a natural and rustic setting just outside of Palo Alto, the Portola Kitchen fuses California ingredients around Italian traditions in a bright open kitchen. Wood-fired pizzas based on housemade dough and Italian mozzarella have brought the restaurant rave reviews, while the gluten-free freshly made pasta comes in innovative shapes and forms including lumache (snail shells) with kale pesto and Italian sausage.

At the moment, there's no online availability within 2.5 hours of your request. Do you have another time in mind?

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