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 (1804)

$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

Carole

Dined 1 day ago

Exceptional food as always! Patricia was an excellent server!

Pasquini's Fine Italian Food

4.9

4.9 (878)

$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

Lorie

Dined 4 days ago

Dinner was wonderful! Service is always above and beyond! I recommend if you have never gone to Pasquinis for dinner, that you make it a point to visit very soon. Reservations highly recommended.

Mattone

4.8

4.8 (315)

$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

Elliott

Dined on Jun 4, 2025

Mattone has great food, great service. One of our favorite restaurants !

Mezzo - Stockton

4.8

4.8 (458)

$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

KathyVIP

Dined 2 days ago

Great service from JT. Fish special (filet of sole) was creative and delicious. Every meal and dish was superb. A great neighborhood spot for consistently good meals.

Il Fornaio - Sacramento

4.8

4.8 (3900)

$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

AlVIP

Dined on Jun 5, 2025

Absolutely wonderful food, wonderful service. The Sacramento Il Fornaio is consistently superior. We've dined at four separate Il Fornaio locations this past year. Sacramento has the best service and they "tweek" many items to get the best flavor.

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The Old Spaghetti Factory - Rancho Cordova

4.8

4.8 (8)

$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

Sally

Dined on May 8, 2025

Good food, celebrating a family birthday. Reservations easy. Our waiter was friendly but nit that attentive, had to ask for several things.

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4.7

4.7 (2129)

$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

FRANKVIP

Dined 5 days ago

Lunch at Piatti is always a pleasant experience, both in terms of food and service.

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Il Fornaio - Roseville

4.7

4.7 (3505)

$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

MeganVIP

Dined today

Lori was excellent and took incredible care of us and made my husband’s birthday extra special! Our table for four was in the covered loggia area, tucked away from the main dining area; which was very quiet and allowed us to catch up and talk easily with our friends. The food was delicious. A special night! Thanks Il Fornaio Roseville!

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Il Fornaio's Daou Wine Dinner

Fabian's Italian Bistro

4.6

4.6 (1990)

$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

Leslee

Dined 1 day ago

The service was excellent.The food was delicious.We will absolutely be coming back here again and again!

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The Old Spaghetti Factory - Sacramento J Street