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Diners' Choice: Italian restaurants in Las Vegas

OpenTable

Updated June 05, 2025

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

A photo of Azzurra Cucina Italiana restaurant

Azzurra Cucina Italiana

4.9

4.9 (671)

$31 to $50

Italian

Henderson

About the restaurant

Newly opened on Henderson’s reimagined Water Street, Azzurra Cucina Italiana offers well-prepared, much loved Italian classics in a boutique space. Owned by local architect and Water Street fixture Windom Kimsey, Azzurra’s culinary team includes local favorite Chef Alessandra Maderia. The power team has ensured that each dish centers around quality ingredients and traditional preparation—bringing Italy to Water Street.

Top review

G

Gina

Dined 5 days ago

Excellent food excellent service very intimate and staff was super friendly

A photo of Ferraro's Ristorante restaurant

Ferraro's Ristorante

4.9

4.9 (6017)

$30 and under

Italian

Paradise

About the restaurant

Las Vegas, known worldwide as the food mecca for the most discerning palates, houses one of the leading upscale fine dining establishments for Italian cuisine, Ferraro's Ristorante. Featuring a chic and modern ambiance, Ferraro's is synonymous with extraordinary service and unforgettable dining experiences. Guests savor flavorful, uncomplicated dishes utilizing only premium ingredients, all-natural meats and seafood, and fresh, hand-made pasta. A recipient of the internationally acclaimed Gambero Rosso award for wine, the venue's extraordinary list is recognized as one of the top Italian wine collections in the world. Headed by Executive Chef Mimmo Ferraro, classic training, ingenuity, and passion for the Italian kitchen bring authenticity and creativity to the menu, carrying on the tradition and history that made Ferraro's an iconic name in the culinary space. Whether joining for happy hour, dinner, or late-night fare, in addition to the classic dishes you can order a la carte, guests may request a guided tasting menu that includes exquisite wine pairings. The meticulous care put into each detail makes this a truly unique place. Open daily with a main dining room, private seating, lounge, and patio options, a memorable culinary adventure awaits.

Top review

L

LarryVIP

Dined 6 days ago

As locals we enjoyed the Summer Special course menu and are looking forward to going back very soon. Very good service and ambiance as well.

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A photo of FILET of a restaurant

A photo of OSSO BUCO of a restaurant

A photo of Gaetano's Ristorante restaurant

Gaetano's Ristorante

4.9

4.9 (2757)

$31 to $50

Italian

Henderson

About the restaurant

Since 2002, Gaetanos' Ristorante has brought our passion for real Italian food to Henderson. Family-owned and operated, we feature gourmet Italian cuisine in a fine-dining atmosphere.

Our pasta is made in-house and all of our sauces are made from scratch. Everything is cooked to-order. We pride ourselves on using the best, freshest ingredients and using products sourced from the finest in Italy. Our Osso Buco is our signature dish and house specialty.

Our curated wine list is notable and among the most thoughtful in the valley. We also have a full bar featuring specialty cocktails.

The dress code for our restaurant is Elegant Casual. In general, this means comfortable, yet polished. Jeans, blouses, tailored shorts, skirts, dresses, collared shirts, sport coats are all welcome. Workout clothes, tank tops, and t-shirts or sweatshirts with large logos are not recommended.

We also offer complimentary valet parking Tuesday through Saturday, as our parking lot tends to fill up quickly.

Top review

S

SherifVIP

Dined 2 days ago

Fantastic food and wine! Excellent service and outstanding atmosphere

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A photo of Bruschetta of a restaurant

A photo of Fettuccine Alfredo of a restaurant

Fettuccine Alfredo

A photo of Spaghetti Carbonara of a restaurant

Spaghetti Carbonara

A photo of Prosecco Italian Osteria restaurant

Prosecco Italian Osteria

4.9

4.9 (30)

$30 and under

Italian

Fiesta Henderson

About the restaurant

Casual cozy Italian dining experience, patio seating available

Top review

R

ROBERTVIP

Dined on Jun 21, 2025

We started with the octopus special that was very good. It almost equals their calamari which is the best I have had in Vegas. Our entree was another special, linguine with clams, sea bass and salmon. The sauce and homemade pasta put this dish over the top. We are so lucky to have this neighborhood gem.

A photo of Piero's Italian Cuisine restaurant

Piero's Italian Cuisine

4.9

4.9 (3670)

$50 and over

Italian

Las Vegas

About the restaurant

Since, 1982 Piero’s Italian Cuisine has been a Las Vegas staple restaurant with an old-school feel reminiscent of 1980s luxury. Our menu features authentic Italian food, market fresh seafood, premium steaks, and one of the largest wine selections in Las Vegas.

Piero’s is a free standing building conveniently located across the street from the Las Vegas Convention and Visitors Authority. We have eight (8) beautifully designed rooms to accommodate most dining preferences. Whether it is a table for two, a banquet, or a private dining experience our award winning staff will help make your meal at Piero's the most enjoyable.

Piero's has earned top industry awards throughout the years including Best of Las Vegas and Wine Spectator’s Best of Excellence.

Top review

D

Donna

Dined 7 days ago

Piero’s never disappoints. Wonderful meal with wonderful service. It is a little loud though.

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A photo of Jumbo Shrimp Cocktail of a restaurant

Jumbo Shrimp Cocktail

A photo of Sunday Gravy of a restaurant

A photo of Linguine & Clams of a restaurant

Linguine & Clams

A photo of Spaghetti Western restaurant

Spaghetti Western

4.8

4.8 (651)

$30 and under

Italian

Southern Highlands

About the restaurant

At Spaghetty Western Ristorante, high-profile Las Vegas dining comes together with old-world charm for a casual, intimate experience you won't soon forget. Spaghetty Western is a Northern Italian gastronomia pub with the flavors of the American West in a luxurious setting of lush, leather banquets, dark maple wood and Italian marble. The restaurant features a wide selection of sandwiches, pizzas and entrees such as baked butternut squash ravioli, pasta pink vodka, prosciutto de parma and chicken Caesar salad, just to name a few.Spaghetty Western is your ideal destination for fine, intimate, off-the-strip dining that won't break your pocket book. Offering hearty, Italian cuisine that will keep you coming back for warm, prompt, attentive service that will make you feel at home, Spaghetty Western should be your next choice for an intimate rendezvous or a family feast.

Top review

L

LEROY

Dined 4 days ago

We go to Spaghetti Western pretty frequently. It’s such a great local’s restaurant. The food is excellent, the staff is friendly, the waiters are very attentive and on top of things. You feel like family as soon as you walk in. I highly recommend Spaghetti Western for lovers of great food and excellent service.

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A photo of Chicken Paillard of a restaurant

Chicken Paillard

A photo of Sgrizzi by Chef Marc restaurant

Sgrizzi by Chef Marc

4.8

4.8 (282)

$30 and under

Italian

Enterprise

About the restaurant

Savor the authentic flavors of Italy at Sgrizzi, where Chef Marc Sgrizzi's passion for Italian cuisine shines. Step into a warm, inviting atmosphere adorned with Tuscan charm, perfect for an unforgettable dining experience. Our menu features classic Italian dishes crafted with the finest ingredients and Chef Marc's unique touch. Enjoy handmade pasta, fresh seafood, and succulent steaks, each bite reflecting our commitment to culinary excellence. Delight in beloved classics like no-breadcrumbs eggplant parmesan and spicy chicken riggies. Explore diverse offerings, from Tuscan-style gnocchi Bolognese to melt-in-your-mouth filet el chico. Complement your meal with handcrafted cocktails and an extensive wine list from our full-service bar. Our knowledgeable staff is ready to help you find the perfect pairing. Whether celebrating a special occasion or craving a taste of Italy, Sgrizzi promises an unforgettable escape. Join us and experience the true essence of Italian cuisine.

Top review

H

HollyVIP

Dined 6 days ago

Fabulous food & service! Chef Marc had a great reputation and it’s because he has amazing food! Service was phenomenal! Loved the chicken sinatra and cherries jubilee the best at our table.

A photo of Panevino Italian Grille restaurant

Panevino Italian Grille

4.9

4.9 (2332)

$31 to $50

Italian

South Las Vegas

About the restaurant

Panevino Italian Grille is a distinctive Las Vegas destination restaurant offering unrivaled views of the Strip and Italian & Plant-Based cuisine to match. Our Deli Café offers a daily variety of freshly baked artisan breads and pastries, Italian cured meats, imported cheeses and homemade pasta & gelatos. We also offer private dining and can accommodate special events with up to 250 guests. Panevino is conveniently located just five minutes from Harry Reid International Airport. Whether you dine in our flowing, modern interior with skyline views or casual, relaxed atmosphere we look forward to welcoming you soon.

Panevino Italian Grille and Deli Café was named 2024 Best of Las Vegas for Italian Restaurant, Happy Hour, Cocktail Bar, Power Lunch, Best View and Fine Dining.

Top review

A

Allison

Dined 4 days ago

Been wanting to go to Panevino for a long time. Finally went with a couple of girl friends, started with Happy Hour at the bar....great service and dishes!!

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A photo of Lasagna Bolognese of a restaurant

Lasagna Bolognese

A photo of Filet Mignon of a restaurant

A photo of Casa di Amore restaurant

4.9

4.9 (4913)

$31 to $50

Italian

Paradise

About the restaurant

Casa Di Amore is Vegas, the way it used to be! Your dining experience is sure to be delightful. Wonderful old school atmosphere with traditional Italian fare, live entertainment nightly and friendly, knowledgeable service. Menu selections include Osso Bucco, Cioppino, Steak Sinatra, and Pork Chops with Vinegar and Peppers. Everything is house made with attention to quality and taste. Great wine selection and full bar, plus a hip, yet old school comfy lounge.

Top review

P

Paul

Dined 5 days ago

Great food great people awesome experience a must try

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Mushroom Risotto

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A photo of La Strega restaurant

4.8

4.8 (1905)

$31 to $50

Italian

Spring Valley

About the restaurant

LA STREGA TRATTORIA IS LOCATED IN BEAUTIFUL LAS VEGAS, NEVADA.

La Strega is Las Vegas’ premiere Italian eatery nestled in the affluent community of Summerlin where James Beard nominated Chef Partner, Gina Marinelli ignites an authentic Italian cultural rejuvenation by inspiring exploration of the traditions of flavorful, fresh and innovative Italian cuisine with her modern, farm-to-table regionally-based dishes.

Translating to “witch” in Italian, La Strega’s sophisticated yet playful atmosphere bewitchingly transports guests to Italy immediately upon arrival. Greens, clays, and earth tones make up its color palette, while full moon-shaped bulbs on brass chandeliers illuminate the space. The restaurant’s artistic centerpiece is a one‐of‐a‐kind mural that spans multiple walls throughout the restaurant, telling the story of the witches of Benevento which inspired the genesis of La Strega, a tale best told by the head Strega herself, Chef Gina Marinelli.

We invite you into our home!!!

Top review

A

Abel

Dined 4 days ago

We came to La Strega to celebrate our anniversary, and the experience was absolutely wonderful from start to finish. The food was delicious, and the service was outstanding. Our server, Lisa, truly went above and beyond to make the evening special. She was incredibly knowledgeable, genuinely friendly, and made the whole experience even more enjoyable. We couldn’t have asked for a better way to celebrate — thank you, Lisa and La Strega!

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A photo of Rigatoni Bolognese of a restaurant

Rigatoni Bolognese

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Spicy Pig Pizza

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