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Best Italian Restaurants in St. Louis, St. Louis

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43 restaurants available nearby

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A photo of Charlie Gitto's 'On the Hill' restaurant
1. Charlie Gitto's 'On the Hill'
4.8
Exceptional(7578)
$$$$
• Italian • The Hill
Booked 67 times today
Charlie Gitto's On the Hill offers an unparalleled dining experience, embodying the very essence of exquisite Italian cuisine in St. Louis. Renowned for its "amazing" and "exceptional" food, this landmark restaurant has consistently delighted patrons with its homemade breads, pastas, and desserts. Diners rave about the "great cuisine" and the "to die for" chocolate torte, making it a perfect spot for both special occasions and casual family outings. The staff's "incredibly attentive" service and warm hospitality ensure every visit is memorable. Whether you're a local or visiting St. Louis, Charlie Gitto's promises a taste of authentic Italian excellence.
A photo of Eleven Eleven Mississippi restaurant
2. Eleven Eleven Mississippi
4.7
Exceptional(4653)
$$$$
• Italian • St. Louis
Booked 53 times today
Experience the best of American cuisine at Eleven Eleven Mississippi, a standout gem nestled in the charming Lafayette Square neighborhood of St. Louis. Known for its impeccable blend of Tuscan and Northern Californian influences, this restaurant offers an "exceptional dining experience" in a beautifully restored historic brick warehouse. Diners rave about the "outstanding" quality of dishes like the wild boar ravioli and grilled petite filet mignon, all served amidst a cozy atmosphere with oak-fired brick ovens and two inviting fireplaces. With a reputation for consistent excellence in both food and service, Eleven Eleven Mississippi is a must-visit for American cuisine enthusiasts.
A photo of Edera Italian Eatery restaurant
3. Edera Italian Eatery
4.7
Exceptional(247)
$$$$
• Italian • Central West End
Booked 20 times today
Edera Italian Eatery, nestled in the heart of Saint Louis’s vibrant Central West End, offers an authentic dive into exquisite American cuisine. Chef Andrew Simon’s commitment to quality is reflected in every dish, with ingredients sourced both locally and from Italy, ensuring a fresh and delightful experience. Guests rave about the "exceptional service and amazing food," praising the restaurant's inviting atmosphere and outstanding culinary offerings. The "beautiful courtyard" and alfresco dining add a touch of European charm, making Edera the perfect spot for both special occasions and everyday dining. Come experience what many hail as a "new favorite" in American cuisine!
A photo of Acero restaurant
4. Acero
4.9
Exceptional(3045)
$$$$
• Italian • Maplewood
Booked 15 times today
Rustic Italian cuisine in the heart of Maplewood that features fresh ingredients from local farmers as well as an all Italian wine list.
A photo of Lorenzo's Trattoria restaurant
5. Lorenzo's Trattoria
4.8
Exceptional(2397)
$$$$
• Italian • The Hill
Booked 19 times today
Nestled in the heart of St. Louis’ The Hill, Lorenzo’s Trattoria captures the essence of Contemporary Italian cuisine with a delightful Northern twist. Diners rave about the "best Italian food in St. Louis," highlighting the authentic house-made gnocchi, risottos, and signature braised Ossobuco. The menu creatively blends traditional and modern flavors, making each visit a culinary adventure. Guests appreciate the "fantastic service" and "classy yet laid-back" ambiance, perfect for family dinners or business meetings. With an extensive wine list and dishes like Veal Piccata and Chicken Spedini, Lorenzo’s stands as a "neighborhood gem" where every meal is a memorable experience.
A photo of Rigazzis restaurant
6. Rigazzis
4.4
Awesome(179)
$$$$
• Italian • The Hill
Booked 52 times today
Rigazzi’s, nestled in the heart of The Hill, St. Louis, is a beacon of exceptional American cuisine, artfully blending robust flavors and warm hospitality. As the oldest restaurant in this historic neighborhood, Rigazzi’s has perfected the art of offering “a timeless experience” through its meticulously crafted dishes. Known for generous portions and “great food,” this iconic eatery never fails to impress with its menu rich in authentic Italian-American classics. Guests rave about the “creamy and smooth” fettuccine Alfredo and the “juicy and flavorful” chicken Spedini. Rigazzi’s truly stands as a cherished cornerstone for those seeking genuine American dining excellence.
A photo of The Old Spaghetti Factory - St. Louis restaurant
7. The Old Spaghetti Factory - St. Louis
3.9
Excellent(71)
$$$$
• Italian • Downtown
Booked 58 times today
Dining at The Old Spaghetti Factory is an experience. For decades, they have invested meticulous attention to their unique designs and authentic vintage décor. Every location is adorned with antique lighting, intricate stained glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. It’s the perfect atmosphere for a family celebration, a large group event, or a special dinner date.A family business since 1969, their founding philosophy — “a memorable dining experience doesn’t have to cost a lot of money” — is perhaps more relevant now than ever. Every entree is a "complete meal," served with hot freshly-baked sourdough bread, soup or salad, and ice cream for dessert at no extra charge.
A photo of Bar Italia Ristorante restaurant
8. Bar Italia Ristorante
4.6
Exceptional(968)
$$$$
• Italian • Central West End
Booked 32 times today
Bar Italia Ristorante is the epitome of authentic European, bringing the heart of Italy to the Central West End of St. Louis. With a reputation for offering "the best pasta in St. Louis," this restaurant delivers an upscale dining experience that transports you straight to a Roman trattoria. Diners rave about the "exceptional food and beverage" that consistently delights with fresh ingredients and exquisite flavors. The ambiance is truly enchanting, especially on their "beautiful patio," which provides a serene backdrop reminiscent of historic Italian streets. Whether it's a romantic evening or a casual get-together, Bar Italia promises a memorable culinary journey.
A photo of Dominic's on the Hill restaurant
9. Dominic's on the Hill
4.8
Exceptional(1196)
$$$$
• Italian • The Hill
Booked 9 times today
Dominic's on the Hill in St. Louis is a testament to the pinnacle of Continental cuisine, offering an unparalleled dining experience that has delighted patrons for decades. With its Florentine atmosphere and "authentic Italian charm," the restaurant's dedication to quality is evident in every dish, from the delicate veal saltimbocca to the perfectly prepared tortellini. Diners consistently rave about the "exceptional service" and "impeccable food," with reviews frequently highlighting the warm, family-like hospitality that transforms each meal into a special occasion. Award-winning and celebrated, Dominic's remains a beloved culinary destination for those seeking the finest in Continental dining.
A photo of Pan D'Olive restaurant
10. Pan D'Olive
4.8
Exceptional(117)
$$$$
• Italian • Richmond Heights
Booked 14 times today
Mediterranean eats, made with love. Experience the Flavors of the Mediterranean, Right Here In Saint Louis.

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See what locals rave about

From verified diners like you
From verified diners like you
  • MJ
    San Francisco Bay Area •2 reviews
    5.0
    Dined 3 days ago
    Excellent dinner before heading to a special event show at the Helium Club. I forgot how great this place is for dinner.
    More info
    Eleven Eleven Mississippi$$$$• Italian• St. Louis
    •
    4.7
  • AlisonGold
    Nebraska •16 reviews
    5.0
    Dined 4 days ago
    This was our last stop on a 10 day road trip. Lorenzo's was absolutely perfect. Had cocktails at the bar. Jennifer was a delight, visited and gave us the story of the restaurant. Moved to our table, Antonio was our server. He knew the wines and menu inside and out. Made excellent recommendations on all. The house salad was fantastic, hubby had the veal piccata, which was just a bit different than most. I had the chicken spiedini which was fantastic. We were too full for dessert, but they sounded great. Will we be back? 100% when in STL!
    More info
    Lorenzo's Trattoria$$$$• Italian• The Hill
    •
    4.8
  • robert
    Wisconsin •11 reviews
    5.0
    Dined 5 days ago
    What an unbelievable experience. Had never been to St. Louis and will probably never go back so we knew we had only one opportunity at this restaurant. Our server, Curt, offered to take us through an entire tasting menu versus just picking a few things to try and it was an incredible experience. ALL of the food was amazing and top notch. Ask for Curt. Ask for the tasting menu. Wear stretchy pants! Enjoy!
    More info
    Charlie Gitto's 'On the Hill'$$$$• Italian• The Hill
    •
    4.8
  • Don
    Dallas - Fort Worth •2 reviews
    5.0
    Dined 5 days ago
    This is my favorite Resturant in St. Louis. The food is spectacular and the service is terrific. The tasting menu is a great adventure and never disappoints. Whenever I visit St. Louis from Dallas this is my favorite spot.
    More info
    Acero$$$$• Italian• Maplewood
    •
    4.9
  • cheryl
    San Diego •21 reviews
    5.0
    Dined on Apr 28, 2026
    Wonderful meal and wonderful service! The caesar salad was the best I have ever had and I always try a caesar at new spots. Branzino fish was perfectly cooked and deboned. Husband had a chopped salad and Salmon which he enjoyed. The ginger mocktail was a real treat too!
    More info
    Edera Italian Eatery$$$$• Italian• Central West End
    •
    4.7

Discover best Italian restaurants in St. Louis

Discover the charm of Italian cuisine right in the heart of Downtown St. Louis with a selection of restaurants that embody the rich culinary traditions of Italy. Each venue offers a unique blend of authentic Italian flavors, ranging from homemade pastas and wood-fired pizzas to fresh seafood and exquisite desserts. These establishments are celebrated for their commitment to quality, often featuring farm-to-table ingredients that highlight the freshness and regional authenticity of their dishes. Downtown St. Louis boasts a vibrant dining scene where Italian eateries provide not only a meal but a culturally immersive experience. The restaurants here are praised for their sophisticated yet comfortable ambiances, making them perfect spots for both casual lunches and romantic dinners. With exceptional service and a focus on culinary excellence, these Italian spots in St. Louis are consistently rated highly for both food and overall dining experience. Whether you're a local foodie or a visitor looking to explore St. Louis's gastronomic offerings, the Italian restaurants downtown promise a satisfying and memorable dining experience, catering to both traditional and contemporary tastes.

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