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Diners' Choice: Italian restaurants in Las Vegas

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OpenTable
Updated June 05, 2024

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
4.9
4.9 (391)
$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
OpenTable Diner
Dined 4 days ago
This is an amazing restaurant. The service and food were fantastic. I differently 100% recommended.
A photo of Ferraro's Ristorante restaurant
4.9
4.9 (5268)
$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
OpenTable Dinervip
Dined 1 day ago
Exceptional service and good exceeded expectations. The atmosphere is outstanding.
A photo of Gaetano's Ristorante restaurant
4.9
4.9 (2505)
$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
MichaelC
Dined 1 day ago
If you want a special meal with excellent service, Gaetano's is the place for you. We had a relaxed, very pleasant time and out-of-this-world food. Our waiter was so helpful, he even brought a cushion in from his car because my husband's back was hurting in the wooden chair. (Not that the chairs are uncomfortable, he has a bad back.) All in all an A+ experience.
A photo of SINATRA – Encore at Wynn Las Vegas restaurant
4.9
4.9 (4043)
$50 and over
Italian
Wynn Las Vegas and Encore
About the restaurant
At Sinatra, the fine Italian restaurant inside Encore, star chef Theo Schoenegger creates a culinary homage to Ol' Blue Eyes that showcases the signature flavors of Italy. The Rat Pack era lives on in this stunning setting, with sumptuous dishes and cocktails that Sinatra's posse would have loved.
Top review
OpenTable Diner
Dined on May 27, 2024
Very good food. definitely would go back again…….love it
A photo of Chef’s Roma Kitchen restaurant
4.8
4.8 (211)
$30 and under
Italian
Fiesta Henderson
About the restaurant
Chef’s Roma Kitchen, located in McDonald Highlands, Henderson. The menu is filled with classic Italian recipes, steak, seafood and house-made desserts. We offer a variety of cocktails and an amazing wine list.
Top review
JSwindy
Dined 7 days ago
My 2nd visit to Chef Roma. 2nd visit was every bit as good as the first. They have a nice bar area, we had cocktail before sitting down to dinner. Food is awesome. I would highly recommend for any special occasion.
A photo of Al Solito Posto restaurant
4.8
4.8 (2496)
$31 to $50
Italian
Tivoli Village
About the restaurant
Al Solito Posto which translates to "At the Usual Place" is an Italian Restaurant with a focus on the classics. The menu features house-made pasta, fresh ingredients and quality seafood and steaks.

*At Al Solito Posto we do not accept outside food. We appreciate your understanding and cooperation. To make special arrangements for celebrations or dietary restrictions, please contact us directly at info@alsolito.com.
Top review
kennymac
Dined 7 days ago
Terrific food, great service, great ambience. One of the best Italian restaurants in Las Vegas
A photo of Bootlegger Bistro restaurant
4.8
4.8 (3177)
$30 and under
Italian
South Las Vegas
About the restaurant
Good things never change. Since 1955 Chef Maria of the Bootlegger Bistro "Nevada's First Restaurateur of the Year" has been creating the finest in Italian cuisine for generations of satisfied customers. Big portions, great food, and a relaxed romantic atmosphere. Featuring Classic Vintage Vegas Entertainment 7 nights a week, The Bootlegger Bistro constantly tops Las Vegas’s best of lists and has been featured on everything from ABC Television to Bravo and the Food Network. Full menu and video poker at our bar. The Bootlegger Bistro where celebrity’s and locals gather.
Top review
OpenTable Diner
Dined 1 day ago
The food here is delicious. The ambiance is very 70s supper club vibe and I’m here for it. Server and his assistant were excellent. Didn’t know we could ask to sit in the room with the musicians, though… was disappointed that we couldn’t see them & experience the music up close. We were there for our 20th anniversary; waiter brought our free mini cannoli dessert on a decorated plate. We will be back before we leave town!
A photo of Piero's Italian Cuisine restaurant
4.9
4.9 (3015)
$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
Smileyvip
Dined 6 days ago
Fantastic meal, great service. Old school done right. Will be back
A photo of Limoncello - Fresh Italian Kitchen restaurant
4.8
4.8 (1113)
$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
jessie
Dined on Jun 11, 2024
Great service and amazing fresh seafood. The branzino is delicious and you can’t skip dessert. Try the tiramisu and affogato, you won’t regret it.
A photo of Osteria Costa - The Mirage restaurant
4.7
4.7 (452)
$50 and over
Italian
The Strip
About the restaurant
Sweeping guests off to the shorelines of southern Italy, Osteria Costa is a casual reprieve where guests will enjoy a variety of wood-fired pizzas, handmade pastas, fresh seafood and fine Italian spirits. Each day, a fresh assortment of limoncello varieties will be crafted in-house available to be poured neat, or as part of a refreshing classic cocktail.
Top review
CherylC
Dined 5 days ago
Very good experience and very handy since we were staying at Mirage.
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