Diners' Choice: Italian restaurants in Sacramento / Sacramento Valley

OpenTable

Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in Sacramento / Sacramento Valley? 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!

Osteria Fasulo

4.9

4.9 (1820)

$31 to $50

Italian

Davis

About the restaurant

Osteria Fasulo offers an imaginative selection of authentic and contemporary Italian specialties that change and compliment with our four seasons. Its dishes are prepared using only the finest and the freshest ingredients from traditional and contemporary Italian recipes.
Osteria Fasulo's mission is to consistently provide the highest quality of Italian food and service to our guests
Our top priority will always be our guests — who should always expect exceptional food, outstanding service and always a warm welcome from the Fasulo’s

Top review

KeithVIP

Dined 2 days ago

Another amazing meal at Osteria Fazulo, our favorite Italian restaurant in Yolo County!

Mattone

4.8

4.8 (324)

$31 to $50

Italian

Sacramento

About the restaurant

Mattone means brick in Italian.
We build our foundation on fresh house made pasta, local produce, meat & cheeses.
Our base is Italian, but our chef has flair for the unexpected & worldly.
Join us for cocktails, wine, beer, & friendly atmosphere.

Top review

OpenTable Diner

Dined 1 day ago

Only issue was the new Waitress. Announced it's her first night unsupervised. Three drinks incorrectly ordered or forgotten. My husband went to the bartender once and we enlisted the help from the young man assisting with removing dishes another time. More training time needed. We were the only table in the bar.

Pasquini's Fine Italian Food

4.9

4.9 (888)

$30 and under

Italian

Yuba City

About the restaurant

Chef/Owner Angelo Micheli uses fresh ingredients from our very own garden which enhances the farm to fork flavors of Italy. Juicy filet & rib eye steaks, seasonal seafood dishes and home made pastas are prepared just to your liking.

Join us on Monday nights for our family friendly, casual Pasta Night (limited menu). Wednesday nights we offer a made to order Prime Rib dinner that will melt in your mouth. We do offer limited seating on our front patio for smaller parties.

Top review

Spencer

Dined 4 days ago

As much as I wish I had chosen a different sauce for my pasta night selection, and I always wish the noise level was lower, we love Pasquini's and they are still our go-to local restaurant. Bartenders have come and gone over the years, but the cocktails are consistently good and they do really well with may favorite classics. I always lean toward the spicy and always forget I don't prefer their spicy ragu. My favorite is their Bolognese. We always start with the steak John and often get the clams and a wedge salad before our meals. Love a Chianti with my meal and opt for the Santa Margherita.

The Old Spaghetti Factory - Rancho Cordova

4.7

4.7 (12)

$30 and under

Italian

Rancho Cordova

About the restaurant

Dining at The Old Spaghetti Factory is an experience. For decades, they have invested meticulous attention to their unique designs and authentic vintage décor. Every location is adorned with antique lighting, intricate stained glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. It’s the perfect atmosphere for a family celebration, a large group event, or a special dinner date.

A family business since 1969, their founding philosophy — “a memorable dining experience doesn’t have to cost a lot of money” — is perhaps more relevant now than ever. Every entree is a "complete meal," served with hot freshly-baked sourdough bread, soup or salad, and ice cream for dessert at no extra charge.

Top review

Catherine

Dined 6 days ago

Food was great Servers were great Hostess was not. We had reservations and were seated at a noisy table. Asked to move to a booth. There were several available but hostess very displeased no smile. We thanked her but no. We had out of town family and the whole party thought she was rude.

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4.7

4.7 (463)

$30 and under

Italian

Stockton

About the restaurant

Mezzo Ristorante in Brookside is a small neighborhood trattoria. Inspired by the cuisines of Italy, Chef Daniel creates a beautiful seasonal & modern italian menu, featuring local produce, house made pastas, quality meats and fresh fish. Mezzo features weekly seafood, ravioli, drink specials for our customers to enjoy!

Mezzo offers indoor dining & on our heated enclosed patio for our customers to enjoy year round. Our bar opens Tuesday-Saturday n starting at 4:00 and serves beautifully handcrafted cocktails, mocktails, a notable wine list, craft beer & after dinner drinks.

Mezzo specializes in private events showers, graduation, birthdays, baptisms, anniversary parties which can be held in our private patio or restaurant. Look for our farmers market dinners, wine tasting events and wine dinners.

At Mezzo we invite you to relax, restore, dine & enjoy drinks with family and friends.
Best of San Joaquin Magazine winner & Diners choice award

Top review

Paul

Dined 2 days ago

Arrived a bit early and we were greeted by a young woman with a wonderful smile. She showed us to our table and poured our water. Our server came and also had a great smile and very professional. Everyone enjoyed their dinner(5 diners) and spur conversation in the back room where there was only one other table. Been there quite a few times and enjoy every single time.

Piatti - Sacramento

4.7

4.7 (2143)

$30 and under

Italian

Sacramento

About the restaurant

Established in 1987, Piatti offers finely crafted fresh Italian cuisine. The soul of the menu is our housemade pasta that we roll, cut and cook by hand everyday. Offering a fresh take on the neighborhood Italian trattoria, Piatti combines a warm, inviting atmosphere, seamless service and an immersive market experience so you can enjoy Piatti at home. Whether dining in or taking home, Piatti brings friends and family together.

Top review

LorieVIP

Dined 2 days ago

Service is outstanding; Claudia is so attentive and thoughtful. She knew a key ingredient would be in use the following week and asked the Chef to make something special for me that had been taken off the menu. We eat here frequently because of the delicious food and excellent service.

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Il Fornaio - Sacramento

4.7

4.7 (3909)

$30 and under

Italian

Sacramento

About the restaurant

Il Fornaio means 'the Baker'; in Italian. Located in downtown Sacramento, this award-winning restaurant offers an authentic and unique Italian dining experience and a Wine Spectator Award of Excellence wine list. Enjoy wood-fired rotisserie and grilled meats, poultry and game; house made and imported pastas; pizzas from an oak wood burning oven; fresh salads and house made soups; antipasti and a wide variety of desserts made daily from scratch.

Top review

Dan

Dined 2 days ago

Needed to get some dinner after picking up family at the airport...conveniently located off the freeway. Food, service and ambiance was nice.

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The Old Spaghetti Factory - Sacramento J Street

4.6

4.6 (19)

$30 and under

Italian

Midtown

About the restaurant

Top review

Kelly

Dined on Jun 15, 2025

Great service! Matthew and Tamaya treated us so well. The food was great!

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Il Fornaio - Roseville

4.6

4.6 (3518)

$30 and under

Italian

Roseville

About the restaurant

Step inside Il Fornaio and take an award-winning culinary journey through Italy. Specialties include house made pastas, wood-fired pizza, grilled fish, authentic risotto, and rotisserie meats. Using the freshest ingredients and traditional cooking techniques, Il Fornaio offers a wide variety of premium-quality Italian food paired with great cocktails and a Wine Spectator Award of Excellence wine list.

Top review

Louie

Dined today

We celebrated our anniversary on 7/4. On entrance, we were immediately greeted by the host with an anniversary card and then were offered two glasses of champagne prosecco. The staff were all super friendly and attentive. We had a wonderful time in the warm and perfect atmosphere. Thank you!

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Fabian's Italian Bistro

4.6

4.6 (1998)

$30 and under

Italian

Fair Oaks

About the restaurant

Voted Best Italian Restaurant in Sacramento! Fabian's Italian Bistro serves locally sourced ingredients crafted into classic Italian dinners, lunches and brunches. On the weekend, you can enjoy brunch with classic eggs benedict, avocado toast or even the "chef's mess". At dinner or lunch service, take a peek at the special wine and cocktail menu, which is filled with both local and imported options.

Fabian’s Italian Bistro is worth checking out any day, but if you happen to be in the neighborhood on Tuesday or Wednesday, you’re in for a treat. Tasting Tuesday dinners include an ever-changing special tasting menu, where you can try smoked pork, scallops, pork tenderloin, polenta, squid ink spaghetti and more. Wednesdays at Fabian’s Italian Bistro feature select house favorite wines for half price, plus they allow you to bring your own bottle with no corkage.

Top review

Tom

Dined 6 days ago

Great staff. Helpful and knowledgeable. Great experience

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