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Best Italian Restaurants in South Grand

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45 restaurants available nearby

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A photo of Charlie Gitto's 'On the Hill' restaurant
4.8
Exceptional(7645)
$$$$
• Italian • The Hill
Booked 93 times today
Charlie Gitto's On the Hill offers an unparalleled dining experience, embodying the very essence of exquisite Italian cuisine in St. Louis. Renowned for its "amazing" and "exceptional" food, this landmark restaurant has consistently delighted patrons with its homemade breads, pastas, and desserts. Diners rave about the "great cuisine" and the "to die for" chocolate torte, making it a perfect spot for both special occasions and casual family outings. The staff's "incredibly attentive" service and warm hospitality ensure every visit is memorable. Whether you're a local or visiting St. Louis, Charlie Gitto's promises a taste of authentic Italian excellence.
A photo of Edera Italian Eatery restaurant
4.7
Exceptional(257)
$$$$
• Italian • Central West End
Booked 28 times today
Edera Italian Eatery, nestled in the heart of Saint Louis’s vibrant Central West End, offers an authentic dive into exquisite American cuisine. Chef Andrew Simon’s commitment to quality is reflected in every dish, with ingredients sourced both locally and from Italy, ensuring a fresh and delightful experience. Guests rave about the "exceptional service and amazing food," praising the restaurant's inviting atmosphere and outstanding culinary offerings. The "beautiful courtyard" and alfresco dining add a touch of European charm, making Edera the perfect spot for both special occasions and everyday dining. Come experience what many hail as a "new favorite" in American cuisine!
A photo of Eleven Eleven Mississippi restaurant
4.7
Exceptional(4682)
$$$$
• Italian • St. Louis
Booked 33 times today
Experience the best of American cuisine at Eleven Eleven Mississippi, a standout gem nestled in the charming Lafayette Square neighborhood of St. Louis. Known for its impeccable blend of Tuscan and Northern Californian influences, this restaurant offers an "exceptional dining experience" in a beautifully restored historic brick warehouse. Diners rave about the "outstanding" quality of dishes like the wild boar ravioli and grilled petite filet mignon, all served amidst a cozy atmosphere with oak-fired brick ovens and two inviting fireplaces. With a reputation for consistent excellence in both food and service, Eleven Eleven Mississippi is a must-visit for American cuisine enthusiasts.
A photo of Lorenzo's Trattoria restaurant
4.8
Exceptional(2407)
$$$$
• Italian • The Hill
Booked 24 times today
Nestled in the heart of St. Louis’ The Hill, Lorenzo’s Trattoria captures the essence of Contemporary Italian cuisine with a delightful Northern twist. Diners rave about the "best Italian food in St. Louis," highlighting the authentic house-made gnocchi, risottos, and signature braised Ossobuco. The menu creatively blends traditional and modern flavors, making each visit a culinary adventure. Guests appreciate the "fantastic service" and "classy yet laid-back" ambiance, perfect for family dinners or business meetings. With an extensive wine list and dishes like Veal Piccata and Chicken Spedini, Lorenzo’s stands as a "neighborhood gem" where every meal is a memorable experience.
A photo of Bar Italia Ristorante restaurant
4.5
Awesome(972)
$$$$
• Italian • Central West End
Booked 12 times today
Bar Italia Ristorante is the epitome of authentic European, bringing the heart of Italy to the Central West End of St. Louis. With a reputation for offering "the best pasta in St. Louis," this restaurant delivers an upscale dining experience that transports you straight to a Roman trattoria. Diners rave about the "exceptional food and beverage" that consistently delights with fresh ingredients and exquisite flavors. The ambiance is truly enchanting, especially on their "beautiful patio," which provides a serene backdrop reminiscent of historic Italian streets. Whether it's a romantic evening or a casual get-together, Bar Italia promises a memorable culinary journey.
A photo of Rigazzis restaurant
4.3
Awesome(194)
$$$$
• Italian • The Hill
Booked 22 times today
Rigazzi’s, nestled in the heart of The Hill, St. Louis, is a beacon of exceptional American cuisine, artfully blending robust flavors and warm hospitality. As the oldest restaurant in this historic neighborhood, Rigazzi’s has perfected the art of offering “a timeless experience” through its meticulously crafted dishes. Known for generous portions and “great food,” this iconic eatery never fails to impress with its menu rich in authentic Italian-American classics. Guests rave about the “creamy and smooth” fettuccine Alfredo and the “juicy and flavorful” chicken Spedini. Rigazzi’s truly stands as a cherished cornerstone for those seeking genuine American dining excellence.
A photo of The Old Spaghetti Factory - St. Louis restaurant
3.9
Excellent(80)
$$$$
• Italian • Downtown
Booked 49 times today
Dining at The Old Spaghetti Factory is an experience. For decades, they have invested meticulous attention to their unique designs and authentic vintage décor. Every location is adorned with antique lighting, intricate stained glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. It’s the perfect atmosphere for a family celebration, a large group event, or a special dinner date.A family business since 1969, their founding philosophy — “a memorable dining experience doesn’t have to cost a lot of money” — is perhaps more relevant now than ever. Every entree is a "complete meal," served with hot freshly-baked sourdough bread, soup or salad, and ice cream for dessert at no extra charge.
A photo of Dominic's on the Hill restaurant
4.7
Exceptional(1202)
$$$$
• Italian • The Hill
Booked 9 times today
Dominic's on the Hill in St. Louis is a testament to the pinnacle of Continental cuisine, offering an unparalleled dining experience that has delighted patrons for decades. With its Florentine atmosphere and "authentic Italian charm," the restaurant's dedication to quality is evident in every dish, from the delicate veal saltimbocca to the perfectly prepared tortellini. Diners consistently rave about the "exceptional service" and "impeccable food," with reviews frequently highlighting the warm, family-like hospitality that transforms each meal into a special occasion. Award-winning and celebrated, Dominic's remains a beloved culinary destination for those seeking the finest in Continental dining.
A photo of Pan D'Olive restaurant
4.8
Exceptional(121)
$$$$
• Italian • Richmond Heights
Booked 11 times today
Mediterranean eats, made with love. Experience the Flavors of the Mediterranean, Right Here In Saint Louis.
A photo of Gian Tony's on The Hill restaurant
4.6
Exceptional(4)
$$$$
• Italian • The Hill
Booked 16 times today
"Experience the authentic taste of Southern Italy at Gian-Tony’s Ristorante, a family-owned landmark in St. Louis’ historic Hill neighborhood since 1989. Our founding chef specialized in traditional Sicilian cuisine crafted from cherished family recipes, which can be found throughout our menu. We pride ourselves on using fresh ingredients with each dish being cooked to order. Our menu features premium hand-cut veal, fresh seafood, and signature pasta dishes, all served in an atmosphere of old-school charm. Whether you’re enjoying a quiet dinner or hosting a private event, we provide a warm, refined dining experience. Visit us to see the legacy our founding chef built over three decades. Reservations recommended."
‘About the restaurant’ descriptions have been generated using an artificial intelligence model comprised of OpenTable proprietary data that has not been independently verified by OpenTable. The content is presented as-is, for informational purposes only.

See what locals rave about

From verified diners like you
From verified diners like you
  • Kara
    St. Louis •12 reviews
    5.0
    Dined 3 days ago
    We had a great night Dining Out for Life at 1111! The dining room and patio are both beautiful and even though it was incredibly busy, the staff was helpful and friendly. The food and drink were outstanding: we enjoyed the swordfish and the striped bass special and the martinis were lovely.
    More info
    Eleven Eleven Mississippi$$$$• Italian• St. Louis
    4.7
  • Sherry
    California Central Coast •1 review
    5.0
    Dined 5 days ago
    Food and service was exquisite! Homemade and quite delicious!
    More info
    Charlie Gitto's 'On the Hill'$$$$• Italian• The Hill
    4.8
  • Julian
    St. Louis •1 review
    5.0
    Dined 6 days ago
    We took our mom here for her birthday. Unfortunately due to the rain, we couldn’t sit in the gorgeous outdoor patio, but the excellent host staff took us to a comfortable indoor dining area where we were immediately attended and privately discussed with wait staff any special plans (they refrigerated our cake, cut it, served it) and also gave our mom a nice card telling her happy birthday. On top of it, the food was excellent and we were constantly checked on to ensure our dining experience was going well. The staff was excellent, the environment was excellent, and the food was spectacular. If I could come again, I definitely would, and would 1000x recommend it to anyone looking for a nice place to try, especially if they’re celebrating a loved one.
    More info
    Edera Italian Eatery$$$$• Italian• Central West End
    4.7
  • HollyGold
    St. Louis •13 reviews
    5.0
    Dined 7 days ago
    Wonderful food, great service, & lovely outside seating!
    More info
    Lorenzo's Trattoria$$$$• Italian• The Hill
    4.8
  • MarianneGold
    New York City •32 reviews
    5.0
    Dined on Jun 4, 2026
    Everyone loved their selections. The Watermelon salad was excellent. Our server was patient and professional.
    More info
    Bar Italia Ristorante$$$$• Italian• Central West End
    4.5
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