Highest-rated Italian restaurants in St. Louis, according to Tripadvisor

Written by:
August 8, 2022
Yulia Grigoryeva // Shutterstock

Highest-rated Italian restaurants in St. Louis, 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 St. Louis on Tripadvisor. Tripadvisor rankings factor in the average rating and number of reviews. Some restaurants on the list may have recently closed. Click through these slides to see if your favorite trattoria made the list.

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Tripadvisor

#30. Joey B's on the Hill

- Rating: 4.5 / 5 (204 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, American
- Price: $$ - $$$
- Address: 2524 Hampton Ave, Saint Louis, MO 63139-2911
- Read more on Tripadvisor
2 / 30
Tripadvisor

#29. Napoli 2

- Rating: 4.5 / 5 (147 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: 1054 Town and Country Crossing Dr, Town and Country, Saint Louis, MO 63017
- Read more on Tripadvisor
3 / 30
Tripadvisor

#28. Lorenzo's Trattoria

- Rating: 4.5 / 5 (217 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: 1933 Edwards St, Saint Louis, MO 63110-3031
- Read more on Tripadvisor
4 / 30
Tripadvisor

#27. The Old Spaghetti Factory

- Rating: 4.0 / 5 (701 reviews)
- Detailed ratings: Food (4.0/5), Service (4.0/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 727 N 1st St Laclede’s Landing, Saint Louis, MO 63102-2501
- Read more on Tripadvisor
5 / 30
Tripadvisor

#26. Pietro's

- Rating: 4.5 / 5 (157 reviews)
- Detailed ratings: Food (4.5/5), Service (5.0/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 3801 Watson Road, Saint Louis, MO 63109
- Read more on Tripadvisor

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6 / 30
Tripadvisor

#25. Gelato Di Riso

- Rating: 4.5 / 5 (101 reviews)
- Detailed ratings: Food (5.0/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Dessert, Italian
- Price: $$ - $$$
- Address: 5204 Wilson Ave St. Louis, Saint Louis, MO 63110-3138
- Read more on Tripadvisor
7 / 30
Tripadvisor

#24. Gian-tony's On the Hill

- Rating: 4.5 / 5 (311 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: 5356 Daggett Ave, Saint Louis, MO 63110-3028
- Read more on Tripadvisor
8 / 30
Tripadvisor

#23. Favazza's

- Rating: 4.0 / 5 (385 reviews)
- Detailed ratings: Food (4.0/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 5201 Southwest Ave, Saint Louis, MO 63139-1444
- Read more on Tripadvisor
9 / 30
Tripadvisor

#22. Guido's Pizzeria and Tapas

- Rating: 4.0 / 5 (306 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: 5046 Shaw Ave, Saint Louis, MO 63110-3022
- Read more on Tripadvisor
10 / 30
Tripadvisor

#21. LoRusso's Cucina

- Rating: 4.5 / 5 (285 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: 3121 Watson Rd, Saint Louis, MO 63139-2412
- Read more on Tripadvisor

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11 / 30
Tripadvisor

#20. Acero

- Rating: 4.5 / 5 (143 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: 7266 Manchester Rd, Maplewood, Saint Louis, MO 63143-2438
- Read more on Tripadvisor
12 / 30
Tripadvisor

#19. Sauce on the Side

- Rating: 4.5 / 5 (146 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 411 N 8th St, Saint Louis, MO 63101-1517
- Read more on Tripadvisor
13 / 30
Tripadvisor

#18. Mama's on The Hill

- Rating: 4.0 / 5 (520 reviews)
- Detailed ratings: Food (4.0/5), Service (4.0/5), Value (4.0/5), Atmosphere (3.5/5)
- Type of cuisine: Italian
- Price: $$ - $$$
- Address: 2132 Edwards St, Saint Louis, MO 63110-3126
- Read more on Tripadvisor
14 / 30
Tripadvisor

#17. Cunetto House of Pasta

- Rating: 4.0 / 5 (534 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Italian, Sicilian
- Price: $$ - $$$
- Address: 5453 Magnolia Ave Near Southwest Avenue, Saint Louis, MO 63139-1447
- Read more on Tripadvisor
15 / 30
Tripadvisor

#16. Dewey's Pizza

- Rating: 4.5 / 5 (250 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Pizza, Italian
- Price: $$ - $$$
- Address: 124 N Kirkwood Rd, Kirkwood, Saint Louis, MO 63122
- Read more on Tripadvisor

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16 / 30
Tripadvisor

#15. Pi Pizzeria

- Rating: 4.5 / 5 (624 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, Pizza
- Price: $$ - $$$
- Address: 610 Washington Ave, Saint Louis, MO 63101-1298
- Read more on Tripadvisor
17 / 30
Tripadvisor

#14. Pastaria

- Rating: 4.5 / 5 (458 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: 7734 Forsyth Blvd, Clayton, Saint Louis, MO 63105-1810
- Read more on Tripadvisor
18 / 30
Tripadvisor

#13. Trattoria Marcella

- Rating: 4.5 / 5 (340 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: 3600 Watson Rd, Saint Louis, MO 63109-1232
- Read more on Tripadvisor
19 / 30
Tripadvisor

#12. Pi Pizzeria

- Rating: 4.5 / 5 (507 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.0/5)
- Type of cuisine: Pizza, Italian
- Price: $$ - $$$
- Address: 6144 Delmar Blvd, Saint Louis, MO 63112-1204
- Read more on Tripadvisor
20 / 30
Tripadvisor

#11. Lombardo's Trattoria

- Rating: 4.5 / 5 (380 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: 201 S 20th St, Saint Louis, MO 63103-2222
- Read more on Tripadvisor

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21 / 30
Tripadvisor

#10. Cafe Napoli

- Rating: 4.5 / 5 (360 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: 7754 Forsyth Blvd, Clayton, Saint Louis, MO 63105-1810
- Read more on Tripadvisor
22 / 30
Tripadvisor

#9. Maggiano's Little Italy

- Rating: 4.5 / 5 (475 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: 2 The Boulevard Saint Louis, Richmond Heights, Saint Louis, MO 63117-1122
- Read more on Tripadvisor
23 / 30
Tripadvisor

#8. Zia's Restaurant

- Rating: 4.5 / 5 (1,010 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: 5256 Wilson Ave, Saint Louis, MO 63110-3138
- Read more on Tripadvisor
24 / 30
Tripadvisor

#7. Charlie Gitto's On the Hill

- Rating: 4.5 / 5 (1,023 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, Sicilian
- Price: $$ - $$$
- Address: 5226 Shaw Avenue, Saint Louis, MO 63110
- Read more on Tripadvisor
25 / 30
Tripadvisor

#6. Tony's

- Rating: 4.5 / 5 (478 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, American
- Price: $$$$
- Address: 105 Carondelet Plaza, Clayton, Saint Louis, MO 63105-3429
- Read more on Tripadvisor

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26 / 30
Tripadvisor

#5. Anthonino's Taverna LLC

- Rating: 4.5 / 5 (755 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: 2225 Macklind Ave, Saint Louis, MO 63110-2951
- Read more on Tripadvisor
27 / 30
Tripadvisor

#4. Eleven Eleven Mississippi

- Rating: 4.5 / 5 (509 reviews)
- Detailed ratings: Food (4.5/5), Service (4.5/5), Value (4.0/5), Atmosphere (4.5/5)
- Type of cuisine: Italian, American
- Price: $$ - $$$
- Address: 1111 Mississippi Ave, Saint Louis, MO 63104-2437
- Read more on Tripadvisor
28 / 30
Tripadvisor

#3. Roberto's Trattoria & Chophouse

- Rating: 4.5 / 5 (404 reviews)
- Detailed ratings: Food (5.0/5), Service (5.0/5), Value (4.5/5), Atmosphere (4.5/5)
- Type of cuisine: Steakhouse, Italian
- Price: $$$$
- Address: 145 Concord Plaza, Saint Louis, MO 63128
- Read more on Tripadvisor
29 / 30
Tripadvisor

#2. Gioia's Deli

- Rating: 4.5 / 5 (192 reviews)
- Detailed ratings: Food (5.0/5), Service (4.5/5), Value (4.5/5), Atmosphere (4.0/5)
- Type of cuisine: Quick Bites, Italian
- Price: $
- Address: 1934 Macklind Ave, Saint Louis, MO 63110-2726
- Read more on Tripadvisor
30 / 30
Tripadvisor

#1. Adriana's

- Rating: 5.0 / 5 (269 reviews)
- Detailed ratings: Food (5.0/5), Service (4.5/5), Value (4.5/5), Atmosphere (3.5/5)
- Type of cuisine: Quick Bites, Italian
- Price: $
- Address: 5101 Shaw Ave, Saint Louis, MO 63110-3039
- Read more on Tripadvisor

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