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

photo of charlie gitto's 'on the hill' restaurant
Exceptional
(4132)
96% 96% Recommend
$ $ $ $
Italian The Hill
Hurry, we only have 3 timeslots left!
photo of eleven eleven mississippi restaurant
Exceptional
(3395)
99% 99% Recommend
$ $ $ $
Italian Downtown St. Louis
Hurry, we only have 4 timeslots left!
photo of trattoria marcella restaurant
Exceptional
(463)
96% 96% Recommend
$ $ $ $
Italian St. Louis
photo of dominic's on the hill restaurant
Exceptional
(627)
91% 91% Recommend
$ $ $ $
Italian The Hill
photo of tony's - st. louis restaurant
Exceptional
(1453)
92% 92% Recommend
$ $ $ $
Italian St. Louis
photo of lorenzo's trattoria restaurant
Exceptional
(1477)
100% 100% Recommend
$ $ $ $
Italian The Hill
photo of anthonino's taverna restaurant
Exceptional
(375)
96% 96% Recommend
$ $ $ $
Italian The Hill
Hurry, we only have 4 timeslots left!
photo of lombardo's trattoria restaurant
Awesome
(517)
95% 95% Recommend
$ $ $ $
Italian Downtown St. Louis
photo of zia's 'on the hill' restaurant
Exceptional
(136)
93% 93% Recommend
$ $ $ $
Italian The Hill
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