Highest-rated Italian restaurants in San Francisco, according to Tripadvisor

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December 22, 2021
Yulia Grigoryeva // Shutterstock

Highest-rated Italian restaurants in San Francisco, according to Tripadvisor

The development of Italian cuisine mirrors the country’s rich political and geographic diversity. Mediterranean influences bring fish and olives into culinary creations, carefully handcrafted ziti, cavatelli, and other types of pasta hail from southern Italy, and exquisite desserts such as tiramisu find origins in the north—combining for a tasty eating experience renowned for its ability to bring people together.

With more than 90,000 establishments offering Italian-style dishes here in America, there are endless options to consider when craving the flavorful, savory tastes of “The Boot.” Stacker compiled a list of the highest rated Italian restaurants in San Francisco on Tripadvisor. Click through these slides to see if your favorite trattoria made the list.

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1 / 30
Tripadvisor

#30. Piazza Pellegrini

- Rating: 4.0 / 5 (597 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 659 Columbus Ave, San Francisco, CA 94133-2829
- Read more on Tripadvisor
2 / 30
Tripadvisor

#29. Rose's Cafe

- Rating: 4.5 / 5 (265 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: American, Italian
- Price: $$ - $$$
- Address: 2298 Union St Steiner St, San Francisco, CA 94123-3902
- Read more on Tripadvisor
3 / 30
Tripadvisor

#28. Fior d'Italia

- Rating: 4.0 / 5 (642 reviews)
- Detailed ratings: Food (4.0/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Tuscan
- Price: $$ - $$$
- Address: 2237 Mason St, San Francisco, CA 94133-1844
- Read more on Tripadvisor
4 / 30
Tripadvisor

#27. Rocco's Cafe

- Rating: 4.5 / 5 (226 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: American, Italian
- Price: $$ - $$$
- Address: 1131 Folsom St, San Francisco, CA 94103-3931
- Read more on Tripadvisor
5 / 30
Tripadvisor

#26. Venticello Ristorante

- Rating: 4.5 / 5 (340 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 1257 Taylor St, San Francisco, CA 94108-1409
- Read more on Tripadvisor

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6 / 30
Tripadvisor

#25. Delfina Restaurant

- Rating: 4.5 / 5 (486 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 3621 18th St, San Francisco, CA 94110-1531
- Read more on Tripadvisor
7 / 30
Tripadvisor

#24. Delarosa

- Rating: 4.5 / 5 (312 reviews)
- Detailed ratings: Food (4.5/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 2175 Chestnut Street, San Francisco, CA 94123
- Read more on Tripadvisor
8 / 30
Tripadvisor

#23. Cotogna

- Rating: 4.5 / 5 (492 reviews)
- Detailed ratings: Food (4.5/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 490 Pacific Ave, San Francisco, CA 94133-4610
- Read more on Tripadvisor
9 / 30
Tripadvisor

#22. 54 Mint

- Rating: 4.5 / 5 (418 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 16 Mint Plaza, San Francisco, CA 94103-1862
- Read more on Tripadvisor
10 / 30
Tripadvisor

#21. Perbacco

- Rating: 4.5 / 5 (836 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$$$
- Address: 230 California St, San Francisco, CA 94111-4301
- Read more on Tripadvisor

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11 / 30
Tripadvisor

#20. Ideale Restaurant & Bar

- Rating: 4.5 / 5 (416 reviews)
- Detailed ratings: Food (4.5/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 1309 Grant Ave, San Francisco, CA 94133-3903
- Read more on Tripadvisor
12 / 30
Tripadvisor

#19. Tony's Pizza Napoletana

- Rating: 4.5 / 5 (2,587 reviews)
- Detailed ratings: Food (4.5/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 1570 Stockton St, San Francisco, CA 94133-3306
- Read more on Tripadvisor
13 / 30
Tripadvisor

#18. Firenze By Night

- Rating: 4.5 / 5 (489 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 1429 Stockton St, San Francisco, CA 94133-3817
- Read more on Tripadvisor
14 / 30
Tripadvisor

#17. Scoma's Restaurant

- Rating: 4.5 / 5 (6,088 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Wine Bar
- Price: $$$$
- Address: 1965 Al Scoma Way Pier 47, San Francisco, CA 94133-1044
- Read more on Tripadvisor
15 / 30
Tripadvisor

#16. Tommaso Ristorante Italiano

- Rating: 4.5 / 5 (441 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 1042 Kearny St, San Francisco, CA 94133
- Read more on Tripadvisor

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16 / 30
Tripadvisor

#15. Original Joe's

- Rating: 4.5 / 5 (1,108 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 601 Union St, San Francisco, CA 94133-2812
- Read more on Tripadvisor
17 / 30
Tripadvisor

#14. La Ciccia

- Rating: 4.5 / 5 (234 reviews)
- Detailed ratings: Food (5.0/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, Seafood
- Price: $$ - $$$
- Address: 291 30th St, San Francisco, CA 94131-2454
- Read more on Tripadvisor
18 / 30
Tripadvisor

#13. Trattoria Contadina

- Rating: 4.5 / 5 (561 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 1800 Mason St, San Francisco, CA 94133-2711
- Read more on Tripadvisor
19 / 30
Tripadvisor

#12. Montesacro Pinseria

- Rating: 4.5 / 5 (269 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 510 Stevenson St, San Francisco, CA 94103-1607
- Read more on Tripadvisor
20 / 30
Tripadvisor

#11. Acquerello

- Rating: 4.5 / 5 (354 reviews)
- Detailed ratings: Food (4.5/5), Service (5.0/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Contemporary, Italian
- Price: $$$$
- Address: 1722 Sacramento St, San Francisco, CA 94109-3619
- Read more on Tripadvisor

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21 / 30
Tripadvisor

#10. Il Casaro Pizzeria and Mozzarella Bar

- Rating: 4.5 / 5 (866 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 348 Columbus Ave, San Francisco, CA 94133-3915
- Read more on Tripadvisor
22 / 30
Tripadvisor

#9. Sotto Mare Oysteria & Seafood

- Rating: 4.5 / 5 (2,381 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Seafood
- Price: $$ - $$$
- Address: 552 Green St, San Francisco, CA 94133-3920
- Read more on Tripadvisor
23 / 30
Tripadvisor

#8. Fino Bar & Ristorante

- Rating: 4.5 / 5 (1,535 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 624 Post St, San Francisco, CA 94109-8222
- Read more on Tripadvisor
24 / 30
Tripadvisor

#7. Pazzia Ristorante Italiano

- Rating: 4.5 / 5 (315 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 337 3rd St, San Francisco, CA 94107-1212
- Read more on Tripadvisor
25 / 30
Tripadvisor

#6. Nob Hill Cafe

- Rating: 4.5 / 5 (1,093 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 1152 Taylor St, San Francisco, CA 94108-1916
- Read more on Tripadvisor

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26 / 30
Tripadvisor

#5. Ristorante Milano

- Rating: 4.5 / 5 (351 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 1448 Pacific Ave, San Francisco, CA 94109-2625
- Read more on Tripadvisor
27 / 30
Tripadvisor

#4. Za Pizza

- Rating: 4.5 / 5 (544 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, Pizza
- Price: $
- Address: 1919 Hyde St, San Francisco, CA 94109-2014
- Read more on Tripadvisor
28 / 30
Tripadvisor

#3. Frascati

- Rating: 4.5 / 5 (612 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$$$
- Address: 1901 Hyde St, San Francisco, CA 94109-2014
- Read more on Tripadvisor
29 / 30
Tripadvisor

#2. Piccolo Forno

- Rating: 4.5 / 5 (283 reviews)
- Detailed ratings: Food (5.0/5), Service (4.5/5), Value (4.5/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 725 Columbus Ave, San Francisco, CA 94133-2701
- Read more on Tripadvisor
30 / 30
Tripadvisor

#1. Seven Hills

- Rating: 4.5 / 5 (920 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Seafood, Italian
- Price: $$$$
- Address: 1896 Hyde St, San Francisco, CA 94109-2109
- Read more on Tripadvisor

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