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Diners' Choice: Italian restaurants in San Francisco Bay Area

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OpenTable
Updated February 05, 2024

Looking for restaurants with the best overall Italian cuisine in San Francisco Bay Area? 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 Caffe Macaroni restaurant
5.0
5 (695)
$30 and under
Italian
North Beach
About the restaurant
Chef & co-owner, Mario and his delightful wife, Stephanie, have a knack for making you feel as if they are cooking and serving just for you at this super-reasonable North Beach nook offering robust Southern Italian fare reminiscent of his native Naples; whether you’ve snagged an outdoor table or are in the small, casual interior, it delivers a pasta fix. The menu changes daily to ensure freshness.
Top review
TexasMD
Dined on Feb 14, 2024
Tiny space with almost no inside seating, but enthusiastic friendly staff. The foot was fantastic. I loved the atmosphere but it is cramped and I tell you all about our neighboring tables conversations. If I lived here I would be back frequently. Three of ate plenty, each had a glass of wine, and the bill was $160.
A photo of Vespucci Ristorante Italiano restaurant
4.9
4.9 (823)
$31 to $50
Italian
San Mateo
About the restaurant
Please consider:
*Kitchen closes at 8:30pm, we place last order at 8:15pm and we don’t accept any reservation after 8:00pm
*Being a small restaurant, it is crucial for us to know in advance if the number of guests in your party changes, or you want to change the time, or you are planning to not come at all. Please avoid to just not show up, but kindly call to inform us, it will be much appreciated. If we don’t hear from you, we will re-assign the table after 15 minutes. If you need to increase the number of guests on a reservation made through Open Table, please call the restaurant.
*We don’t take groups larger than 10 people on Fridays and Saturdays.
*About birthday celebrations : we don’t have a free dessert policy, if you order one from our dessert chart, we will bring it to the table with the candle. You can also bring your own cake, our cutting fee is $3 per person.
*Corkage fee is $25 per bottle.
*We don't longer offer outdoor seating, only indoor dining and take out.


Top review
Donnavip
Dined 5 days ago
We enjoyed another great meal at our neighborhood gem with the amazing food, beautiful ambience and welcoming owners! Already looking forward to the next time!
A photo of Valenti & Co. Ristorante restaurant
4.9
4.9 (776)
$31 to $50
Italian
San Anselmo
About the restaurant
Welcome to Valenti & Co, Northern Italian Restaurant and Wine Bar in San Anselmo. Farm-fresh Italian Cuisine, thoughtfully sourced local ingredients and wines.

Top review
OpenTable Diner
Dined on Feb 17, 2024
Delicious, authentic Italian food. Servers are attentive and awesome. It feels like a family is serving you and you’re in Italy! we eat her over and over again. The food is so good 
A photo of Bocconcino restaurant
4.9
4.9 (26)
$30 and under
Italian
North Beach
About the restaurant
Bocconcino, a chic Italian restaurant in San Francisco, combines classic and modern elements. It features an elegant ambiance with a cozy patio. , the menu showcases traditional Italian dishes with innovative twists using local ingredients. Highlights include handmade pastas, gourmet entrées, and indulgent desserts. The wine list pairs Italian and Californian selections with the cuisine. Bocconcino's attentive service, regular culinary events, and commitment to sustainability make it a unique culinary destination in the city's vibrant dining scene.
Top review
SerenellaLvip
Dined 5 days ago
Celebrated a birthday party dinner. It was our first time there. Staff was extremely courteous, hard working and welcoming. We shared salumi, vegetable and calamari appetizers, all good. I had the fish special: Livorno style halibut with polenta: Delicious. I recommend this family style restaurant.
A photo of Divino Belmont restaurant
4.9
4.9 (1159)
$30 and under
Italian
Belmont
About the restaurant
Divino Ristorante serves delicious, authentic regional Italian cuisine, in a casually elegant and comfortable setting. Since first opening its doors on Ralston Avenue in Belmont, it has enjoyed rave reviews for its beautifully prepared and presented Italian fare and excellent service. Conveniently located on Ralston Avenue near El Camino Real, you can enjoy the freshest pasta, salads, seafood, veal, chicken and lamb dishes attractively presented with the experience of dining in Italy. Allow our professional staff to assist you in choosing the perfect wine from any region of Italy to perfectly complement your meal. For your next dinner with friends or family, or for a romantic dinner for two, you can count on Divino.
Top review
PatrickH
Dined 1 day ago
Great service & food. Always constant. Great place.
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A photo of 888 Ristorante Italiano restaurant
4.9
4.9 (556)
$30 and under
Italian
San Carlos
About the restaurant
If you’ve ever enjoyed the 888 dining experience, you know it’s not like your average Bay Area Italian restaurant. Conveniently located in the heart of downtown San Carlos, 888 Ristorante Italiano brings authentic flavors of Italy to Laurel Street. 888 was created from a passion for Italian cuisine that’s deep-rooted in the Maddalena family. Owner Vince Maddalena and Chef Raul learned their craft through growing up in the restaurant industry. Specifically, Maddalena’s, owned by Vince’s dad for over 30 years in Palo Alto. When Vince’s dad closed shop, Vince knew he wanted to continue sharing his passion for food with the public. And so 888 was born! When it comes to cooking, we never take shortcuts. Almost all of our menu is made in-house and we keep things fresh by changing our dishes as seasons come and go. Enjoy our intimate dining experience with a significant other, family and friends or just let us know if you have a large group and we would be happy to accommodate. Your host, Vincenzo Maddalena, would like to welcome you to his restaurant for a unique dining experience of authentic Italian cuisine. Buon Appetito!
Top review
DanBvip
Dined 6 days ago
Simple good food, service and ambiance! A guaranteed excellent meal.
A photo of Cook St. Helena restaurant
4.9
4.9 (1276)
$30 and under
Italian
St. Helena
About the restaurant
Specializing in elegant but straight-forward Northern Italian cuisine, created from local and seasonal ingredients.

A family-owned business, Cook St. Helena, is a neighborhood establishment through and through that continues to bring people together around fresh, handmade, delicious food in a warm, casual atmosphere. We opened Cook in 2004 to show the locals and tourists alike that food does not need to be complicated to taste great!

Top review
DanP
Dined 1 day ago
2nd time here in our week long stay. Fantastic food. Small menu but outstanding choices and specials. Wonderful presentations. Excellent wine list and cocktail offerings. Attentive and professional service. Go! You will very satisfied.
A photo of Baci Cafe & Wine Bar - Healdsburg restaurant
4.9
4.9 (3484)
$31 to $50
Italian
Healdsburg
About the restaurant
Baci Cafe & Wine Bar invites you to enjoy its fine regional Italian and Mediterranean food, paired with wines from Sonoma, Napa and Italy, in a casual dining atmosphere.
Baci's wine list is thoughtful and well-priced, and features many small artisan wineries. Baci's menu is creative and offers a large selection of dishes. It's focus and commitment to local fresh seasonal ingredients has made it one of our Sonoma County favorites.

Top review
BillFvip
Dined 2 days ago
One of the best restaurants in Healdsburg. Feels like family when you dine with them. Fresh and an unbelievable menu.
A photo of Lupa Trattoria restaurant
4.8
4.8 (1008)
$30 and under
Italian
Noe Valley
About the restaurant
Situated in the congenial San Francisco neighborhood of Noe Valley, Lupa is a classic Italian trattoria with comfortable neighborhood charm, affordable prices, and destination-caliber cuisine. Using the best available local ingredients, Chef Stefano Coppola creates a seasonal menu featuring classic dishes from his home in Rome.


The menu is based on the Italian tradition of preparing food - combining simplicity with the best ingredients of the season, including quality olive oil, locally grown local vegetables and fruits, and seasonal specials of seafood, poultry, meat and game. Our bread and pastas - gnocchi, tagliatelle, pappardelle, tortelloni, and ravioli are homemade on premise.


In addition to the regular menu, our specials menu features different soups, antipasti, pastas, and main courses.


Beyond a passion for authentic Roman cuisine, our friendly Italian staff work from their hearts to make your visit comfortable and enjoyable.

Top review
OpenTable Diner
Dined 3 days ago
We all enjoyed our meal, food is delicious, staffs are friendly and attentive.
A photo of Trattoria Fresco restaurant
4.6
4.6 (246)
$31 to $50
Italian
Ross
About the restaurant
Welcome To Marco`s Trattoria Fresco


For a delightful evening, come and enjoy our distinctive specialties including a variety of delicious appetizers and salads freshly made pastas, seafood, and outstanding grilled entrees.


Fresco is dedicated to supporting the essential earthly concepts of organic food production.


We cook with fresh produce delivered every day, and choose organic whenever possible. Menu highlights include house-made pastas, traditional Italian salads, fresh fish and flavorful meats grilled over mesquite.


All baked goods, pastries and desserts are prepared daily in-house.

Top review
LRinMarin
Dined on Feb 18, 2024
Nice place for a pre-theater meal before Ross Valley Players show.
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