Diners' Choice - Downtown

Best Italian Restaurants

Looking for restaurants with the best overall Italian cuisine in Downtown? 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!

Top ​10 Diners' Choice Winners in Downtown

How are Featured results ranked
The default order for search results reflects a number of factors, including table availability, restaurant location, search criteria, and restaurant reviews and ratings. In addition, payment made by a restaurant to OpenTable is also a factor for the relative ordering of restaurants.
photo of dominic's on the hill restaurant
Exceptional
(608)
92% 92% Recommend
$ $ $ $
Italian The Hill
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At the moment, there’s no online availability within 2.5 hours of 7:00 PM. Have another time in mind?

photo of charlie gitto's 'on the hill' restaurant
Exceptional
(4001)
97% 97% Recommend
$ $ $ $
Italian The Hill
Hurry, we only have 4 timeslots left!
photo of eleven eleven mississippi restaurant
Exceptional
(3317)
98% 98% Recommend
$ $ $ $
Italian Downtown St. Louis
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At the moment, there’s no online availability within 2.5 hours of 7:00 PM. Have another time in mind?

photo of tony's - st. louis restaurant
Exceptional
(1404)
91% 91% Recommend
$ $ $ $
Italian St. Louis
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At the moment, there’s no online availability within 2.5 hours of 7:00 PM. Have another time in mind?

photo of trattoria marcella restaurant
Exceptional
(385)
94% 94% Recommend
$ $ $ $
Italian St. Louis
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At the moment, there’s no online availability within 2.5 hours of 7:00 PM. Have another time in mind?

photo of lorenzo's trattoria restaurant
Exceptional
(1426)
99% 99% Recommend
$ $ $ $
Italian The Hill
photo of anthonino's taverna restaurant
Exceptional
(313)
96% 96% Recommend
$ $ $ $
Italian The Hill
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At the moment, there’s no online availability within 2.5 hours of 7:00 PM. Have another time in mind?

photo of lombardo's trattoria restaurant
Awesome
(473)
96% 96% Recommend
$ $ $ $
Italian Downtown St. Louis
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