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Diners' Choice: Italian restaurants in Las Vegas

OpenTable

Updated May 05, 2025

Looking for restaurants with the best overall Italian cuisine in Las Vegas? You’re in the right place. Each month OpenTable analyzes more than 400,000 new diner reviews. We sort the results by category to help you discover new favorites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!

A photo of Azzurra Cucina Italiana restaurant

Azzurra Cucina Italiana

4.9

4.9 (636)

$31 to $50

Italian

Henderson

About the restaurant

Newly opened on Henderson’s reimagined Water Street, Azzurra Cucina Italiana offers well-prepared, much loved Italian classics in a boutique space. Owned by local architect and Water Street fixture Windom Kimsey, Azzurra’s culinary team includes local favorite Chef Alessandra Maderia. The power team has ensured that each dish centers around quality ingredients and traditional preparation—bringing Italy to Water Street.

Top review

J

Jeanna

Dined 6 days ago

Many thanks to Azzurra for a wonderful evening! You are our happy place!

A photo of Ferraro's Ristorante restaurant

Ferraro's Ristorante

4.9

4.9 (5921)

$30 and under

Italian

Paradise

About the restaurant

Las Vegas, known worldwide as the food mecca for the most discerning palates, houses one of the leading upscale fine dining establishments for Italian cuisine, Ferraro's Ristorante. Featuring a chic and modern ambiance, Ferraro's is synonymous with extraordinary service and unforgettable dining experiences. Guests savor flavorful, uncomplicated dishes utilizing only premium ingredients, all-natural meats and seafood, and fresh, hand-made pasta. A recipient of the internationally acclaimed Gambero Rosso award for wine, the venue's extraordinary list is recognized as one of the top Italian wine collections in the world. Headed by Executive Chef Mimmo Ferraro, classic training, ingenuity, and passion for the Italian kitchen bring authenticity and creativity to the menu, carrying on the tradition and history that made Ferraro's an iconic name in the culinary space. Whether joining for happy hour, dinner, or late-night fare, in addition to the classic dishes you can order a la carte, guests may request a guided tasting menu that includes exquisite wine pairings. The meticulous care put into each detail makes this a truly unique place. Open daily with a main dining room, private seating, lounge, and patio options, a memorable culinary adventure awaits.

Top review

S

SeanVIP

Dined today

Should Osso Bucco cost $76? If your answer is yes, then this is a very good Italian restaurant. You get the full fine dining service experience. The food is good. But yeah, one Osso Bucco and one lasgne (no drinks or appetizers) coming out to almost $150 with tax and tip? I mean, I guess...

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A photo of TIRAMISU of a restaurant

A photo of FILET of a restaurant

A photo of OSSO BUCO of a restaurant

A photo of Gaetano's Ristorante restaurant

Gaetano's Ristorante

4.9

4.9 (2723)

$31 to $50

Italian

Henderson

About the restaurant

Since 2002, Gaetanos' Ristorante has brought our passion for real Italian food to Henderson. Family-owned and operated, we feature gourmet Italian cuisine in a fine-dining atmosphere.

Our pasta is made in-house and all of our sauces are made from scratch. Everything is cooked to-order. We pride ourselves on using the best, freshest ingredients and using products sourced from the finest in Italy. Our Osso Buco is our signature dish and house specialty.

Our curated wine list is notable and among the most thoughtful in the valley. We also have a full bar featuring specialty cocktails.

The dress code for our restaurant is Elegant Casual. In general, this means comfortable, yet polished. Jeans, blouses, tailored shorts, skirts, dresses, collared shirts, sport coats are all welcome. Workout clothes, tank tops, and t-shirts or sweatshirts with large logos are not recommended.

We also offer complimentary valet parking Tuesday through Saturday, as our parking lot tends to fill up quickly.

Top review

M

MarianneVIP

Dined today

We had the most amazing time, our waiter was amazing, the food very good and just everything was perfect. Thank you so much for making Johns birthday special 🥰

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A photo of Bruschetta of a restaurant

A photo of Fettuccine Alfredo of a restaurant

Fettuccine Alfredo

A photo of Spaghetti Carbonara of a restaurant

Spaghetti Carbonara

A photo of Piero's Italian Cuisine restaurant

Piero's Italian Cuisine

4.9

4.9 (3588)

$50 and over

Italian

Las Vegas

About the restaurant

Since, 1982 Piero’s Italian Cuisine has been a Las Vegas staple restaurant with an old-school feel reminiscent of 1980s luxury. Our menu features authentic Italian food, market fresh seafood, premium steaks, and one of the largest wine selections in Las Vegas.

Piero’s is a free standing building conveniently located across the street from the Las Vegas Convention and Visitors Authority. We have eight (8) beautifully designed rooms to accommodate most dining preferences. Whether it is a table for two, a banquet, or a private dining experience our award winning staff will help make your meal at Piero's the most enjoyable.

Piero's has earned top industry awards throughout the years including Best of Las Vegas and Wine Spectator’s Best of Excellence.

Top review

A

Abby

Dined 5 days ago

Everything was wonderful! The meatballs and homemade ravioli were so good!

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A photo of Jumbo Shrimp Cocktail of a restaurant

Jumbo Shrimp Cocktail

A photo of Sunday Gravy of a restaurant

A photo of Linguine & Clams of a restaurant

Linguine & Clams

A photo of Sgrizzi by Chef Marc restaurant

Sgrizzi by Chef Marc

4.9

4.9 (238)

$30 and under

Italian

Enterprise

About the restaurant

Savor the authentic flavors of Italy at Sgrizzi, where Chef Marc Sgrizzi's passion for Italian cuisine shines. Step into a warm, inviting atmosphere adorned with Tuscan charm, perfect for an unforgettable dining experience. Our menu features classic Italian dishes crafted with the finest ingredients and Chef Marc's unique touch. Enjoy handmade pasta, fresh seafood, and succulent steaks, each bite reflecting our commitment to culinary excellence. Delight in beloved classics like no-breadcrumbs eggplant parmesan and spicy chicken riggies. Explore diverse offerings, from Tuscan-style gnocchi Bolognese to melt-in-your-mouth filet el chico. Complement your meal with handcrafted cocktails and an extensive wine list from our full-service bar. Our knowledgeable staff is ready to help you find the perfect pairing. Whether celebrating a special occasion or craving a taste of Italy, Sgrizzi promises an unforgettable escape. Join us and experience the true essence of Italian cuisine.

Top review

A

Adam

Dined 2 days ago

Simply fantastic! We had the 8 course tasting menu and each course was better than the next. Can’t wait to go back!

A photo of Casa di Amore restaurant

4.9

4.9 (4873)

$31 to $50

Italian

Paradise

About the restaurant

Casa Di Amore is Vegas, the way it used to be! Your dining experience is sure to be delightful. Wonderful old school atmosphere with traditional Italian fare, live entertainment nightly and friendly, knowledgeable service. Menu selections include Osso Bucco, Cioppino, Steak Sinatra, and Pork Chops with Vinegar and Peppers. Everything is house made with attention to quality and taste. Great wine selection and full bar, plus a hip, yet old school comfy lounge.

Top review

L

Lazette

Dined today

Other than the rude family next to us with screaming children everything was fabulous as it always is ..

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A photo of Mushroom Risotto of a restaurant

Mushroom Risotto

A photo of Marsala of a restaurant

A photo of Prosecco Italian Osteria restaurant

Prosecco Italian Osteria

4.9

4.9 (28)

$30 and under

Italian

Fiesta Henderson

About the restaurant

Casual cozy Italian dining experience, patio seating available

Top review

B

Bob And ManitaVIP

Dined on Apr 16, 2025

The food is delicious and Jesus was a great server. We have never had a bad or even questionable meal.

A photo of Panevino Italian Grille restaurant

Panevino Italian Grille

4.9

4.9 (2318)

$31 to $50

Italian

South Las Vegas

About the restaurant

Panevino Italian Grille is a distinctive Las Vegas destination restaurant offering unrivaled views of the Strip and Italian & Plant-Based cuisine to match. Our Deli Café offers a daily variety of freshly baked artisan breads and pastries, Italian cured meats, imported cheeses and homemade pasta & gelatos. We also offer private dining and can accommodate special events with up to 250 guests. Panevino is conveniently located just five minutes from Harry Reid International Airport. Whether you dine in our flowing, modern interior with skyline views or casual, relaxed atmosphere we look forward to welcoming you soon.

Panevino Italian Grille and Deli Café was named 2024 Best of Las Vegas for Italian Restaurant, Happy Hour, Cocktail Bar, Power Lunch, Best View and Fine Dining.

Top review

J

JimVIP

Dined on Apr 25, 2025

I have dined here on several occasions while visiting Las Vegas. Excellent each and every time!

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A photo of Seafood of a restaurant

A photo of Lasagna Bolognese of a restaurant

Lasagna Bolognese

A photo of Filet Mignon of a restaurant

A photo of La Strega restaurant

4.8

4.8 (1882)

$31 to $50

Italian

Spring Valley

About the restaurant

LA STREGA TRATTORIA IS LOCATED IN BEAUTIFUL LAS VEGAS, NEVADA.

La Strega is Las Vegas’ premiere Italian eatery nestled in the affluent community of Summerlin where James Beard nominated Chef Partner, Gina Marinelli ignites an authentic Italian cultural rejuvenation by inspiring exploration of the traditions of flavorful, fresh and innovative Italian cuisine with her modern, farm-to-table regionally-based dishes.

Translating to “witch” in Italian, La Strega’s sophisticated yet playful atmosphere bewitchingly transports guests to Italy immediately upon arrival. Greens, clays, and earth tones make up its color palette, while full moon-shaped bulbs on brass chandeliers illuminate the space. The restaurant’s artistic centerpiece is a one‐of‐a‐kind mural that spans multiple walls throughout the restaurant, telling the story of the witches of Benevento which inspired the genesis of La Strega, a tale best told by the head Strega herself, Chef Gina Marinelli.

We invite you into our home!!!

Top review

M

MariluVIP

Dined 4 days ago

Food was pretty amazing! Everything tasted fresh, and had great flavor. We ordered the artichokes, the spicy pig pizza, the cacio e pepe pasta, and the lemon ricotta tortellini. We loved all of it! We will be back!

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A photo of Rigatoni Bolognese of a restaurant

Rigatoni Bolognese

A photo of Spicy Pig Pizza of a restaurant

Spicy Pig Pizza

A photo of Verde Rigati of a restaurant

A photo of Limoncello - Fresh Italian Kitchen restaurant

Limoncello - Fresh Italian Kitchen

4.8

4.8 (1264)

$31 to $50

Italian

Summerlin

About the restaurant

Limoncello is an upscale Italian restaurant/steakhouse on the westside of Las Vegas inspired by the Amalfi Coast. Whether you are coming from Summerlin or the Las Vegas Strip, we invite you to enjoy our daily fresh seafood selection, prime meats, homemade pastas, oven fired pizza and many more Italian classic dishes. Our bar offers handcrafted classic American and Italian cocktails made always with premium spirits. Our wine cellar features some of the best American and Italian wines available, including rare verticals.

Las Vegas' Best Italian Restaurant of 2022 MyVegas

Limoncello's private rooms can accommodate special events, celebrations, large parties and business meetings with ease. The ambiance is beautiful and romantic with fresh authentic Italian dishes served with a modern flare: Gamberoni, a South African giant prawn, pan-seared in seafood Cognac sauce, Tomahawk Veal Chop and Dover Sole, Mugnaia style are highlighted since our grand opening in November 2019.

Top review

J

JeffreyVIP

Dined 3 days ago

Great meal and outstanding service at Limoncello. Always a good time.

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A photo of Spaghetti Vongole of a restaurant

Spaghetti Vongole

A photo of Dover Sole Papillote of a restaurant

Dover Sole Papillote

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