Highest-rated Italian restaurants in St. Louis by diners

It's no surprise that, in most countries, traditional national cuisine is the most popular, according to a 2024 report by Statista. But Italian food isn't just top-rated in Italy—it ranks as the second-most popular cuisine in Germany and France and takes the bronze spot in the U.K., Mexico, and India as well.

Of course, it's also among Americans' favorites—and there's lots to love about it. Just thinking about dishes like chicken Parmesan and spaghetti and meatballs is enough to get your mouth watering, even though many of these world-famous dishes are actually Italian American creations more so than true Italian fare. Traditional Italian food embraces an assortment of sumptuous recipes that aren't dependent on fried breadcrumbs and red sauce—think frittatas and focaccia, or carpaccio and panna cotta.

Italian immigrants have been weaving their cuisine into the fabric of the American food landscape for generations since they arrived in the United States nearly 150 years ago. And the cuisine, like the culture it hails from, tends to give off warm and fuzzy "family" feelings. For many people, the quintessential local Italian American restaurant—complete with its red-and-white checkered tablecloths, pour bottles of olive oil, Parmesan cheese shakers, cute little jars of red pepper flakes, and wicker baskets of oven-fresh bread—brings back memories of special life moments, like first dates and milestone birthdays.

Luckily, today you don't need to be in a major metropolis like New York or Los Angeles or an area with a large Italian or Italian American community to score top-notch buon cibo. You can find excellent Italian offerings in almost every city from coast to coast. To celebrate all things mozzarella and marinara, Stacker compiled a list of the highest-rated Italian restaurants in St. Louis based on diners' reviews on Yelp as of January 2025.

Read on to see if your favorite is among the top-rated or to find a new spot in your neighborhood.