Diners' Choice: Italian restaurants in San Francisco Bay Area

OpenTable

Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in San Francisco Bay Area? 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!

Baci Cafe & Wine Bar - Healdsburg

4.9

4.9 (3820)

$31 to $50

Italian

Healdsburg

About the restaurant

Baci Cafe & Wine Bar invites you to enjoy its fine regional Italian and Mediterranean food, paired with wines from Sonoma, Napa and Italy, in a casual dining atmosphere.
Baci's wine list is thoughtful and well-priced, and features many small artisan wineries. Baci's menu is creative and offers a large selection of dishes. It's focus and commitment to local fresh seasonal ingredients has made it one of our Sonoma County favorites.

Top review

CraigVIP

Dined on Jun 3, 2025

Classic Italian in very comfortable and homey environment. Food was terrific and service was outstanding.

Discover more

Popular dish

Spaghetti alla Bolognese

Popular dish

Gnocchi alla Bolognese

Popular dish

Carpaccio

Caffe Macaroni

4.9

4.9 (731)

$30 and under

Italian

North Beach

About the restaurant

Chef & co-owner, Mario and his delightful wife, Stephanie, have a knack for making you feel as if they are cooking and serving just for you at this super-reasonable North Beach nook offering robust Southern Italian fare reminiscent of his native Naples; whether you’ve snagged an outdoor table or are in the small, casual interior, it delivers a pasta fix. The menu changes daily to ensure freshness.

Top review

David

Dined 6 days ago

What a wonderful welcome and experience in this little sliver of a place! Mario could not be more welcoming or unobtrusively attentive, and the menu is a fascinating collection of Neapolitan dishes labeled in dialect, that are tasty and well prepared and presented.

Cook St. Helena

4.9

4.9 (1519)

$30 and under

Italian

St. Helena

About the restaurant

Specializing in elegant but straight-forward Northern Italian cuisine, created from local and seasonal ingredients.

A family-owned business, Cook St. Helena, is a neighborhood establishment through and through that continues to bring people together around fresh, handmade, delicious food in a warm, casual atmosphere. We opened Cook in 2004 to show the locals and tourists alike that food does not need to be complicated to taste great!

Top review

Jerry

Dined on Jun 3, 2025

Our waiter at the bar was great. The Owner/Chef brought out our entrees and we discussed the meal and ambiance. The specials were very good and inventive, the flourless chocolate cake with butter pecan and whipped cream was excellent. Overall an enjoyable experience with excellent food and wine at a good price

Discover more

Popular dish

risotto

A photo of flourless chocolate cake caramel whipped cream grey salt of a restaurant

Valenti & Co. Ristorante

4.9

4.9 (894)

$31 to $50

Italian

San Anselmo

About the restaurant

Welcome to Valenti & Co, Northern Italian Restaurant and Wine Bar in San Anselmo. Farm-fresh Italian Cuisine, thoughtfully sourced local ingredients and wines.

Top review

Lisa

Dined 6 days ago

Our favorite neighborhood place! Always friendly and fantastic

La Lanterna Ristorante

4.9

4.9 (1025)

$30 and under

Italian

San Mateo

About the restaurant

Open since 2001, La Lanterna is a family-owned business with Ramon Lopez as Executive Chef and Jennifer Villa-McGuffin service as manager. Prior to opening, Ramon and Jennifer were employed at various fine dining restaurants in the San Francisco Peninsula. With his own signature style, Chef Ramon has received numerous accolades and is honored to serve you at La Lanterna.

Top review

RonnieVIP

Dined on Jun 5, 2025

Wonderful neighborhood restaurant with consistently great food and friendly and hospitable staff.

Pizzeria Delfina - Pacific Heights

4.9

4.9 (133)

$30 and under

Italian

Pacific Heights

About the restaurant

Pizzeria Delfina is a pizzeria that combines the pizza culture of Naples, Italy with that of modern New York City. Neapolitan pizza is a very specific type of pizza, as is that of New York City. By combining the best elements of both, Pizzeria Delfina has created a style of pizza that is all its own. James Beard Award winners Annie and Craig Stall created this restaurant as a way to fuse their two favorite locales and flavors.Pizzeria Delfina's pizza recipes include both classic recipes and new interpretations. There is the traditional panna pizza with tomato sauce, cream, basil and shaved parmesan as well as the clam pie with cherrystones, oregano, tomato, pecorino romano and hot peppers.

Top review

RobinVIP

Dined 2 days ago

Staff was great. Our waiter (I regretfully do not recall her name) was especially good (and patient) with our indecisive party.

Discover more

Experience

Jolie-Laide x Pizzeria Delfina BTG Takeover

Angelino Restaurant

4.8

4.8 (1054)

$31 to $50

Italian

Sausalito

About the restaurant

We are open for indoor and outdoor seating and curbside pickup Tuesday - Sunday 5:00 - 9:00 pm. To view our full menu and daily specials, visit our website at www.angelinorestaurant.com. Please call us at (415) 331-5225 to place an order or order online for curbside pickup.

Angelino Restaurant strives to give each customer a peek into Italy's spirit: delicious food, world-class wine, and unforgettable memories with family and friends. Experience the rich culture of Italy through the superb cuisine, friendly atmosphere, and warm hospitality of the Ancona family and the staff of Angelino Restaurant.

Executive Chef Alfredo Ancona excels at blending traditional Italian flavors with high-quality local ingredients. Chef Alfredo crafts our menu to highlight the freshest ingredients each season has to offer. Freshly baked bread, house-made pasta, and locally caught seafood are among the highlights of what new and old customers love to enjoy with us.

Top review

DebbieVIP

Dined on May 8, 2025

The food was excellent and the location was just lovely!

La Stanza Cucina Italiana

4.8

4.8 (611)

$30 and under

Italian

Menlo Park

About the restaurant

2020 We newly remodeled a warm and cozy Italian Sicilian restaurant we have two chefs owners in our kitchen preparing house made pasta and bread everyday please come and join us and taste our house made dishes. Angelo Cucco is from a small twon in Sicily and Miguel have ran a few kitchens in the peninsula come and let us make you feel a home

Top review

JeromeVIP

Dined 7 days ago

Best value in the Bay Area! The whole team takes good care of customers, always…

Montecatini Restaurant - Walnut Creek

4.8

4.8 (783)

$30 and under

Italian

Walnut Creek

About the restaurant

Montecatini is a stable for Walnut Creek as it opened October 17, 1989, the day of the Loma Prieta earthquake in California. Since then, Montecatini Ristorante has become a place for "regulars" to enjoy a true Italian dining experience. We are a loud and bustling environment where many have come to say we're like family. All our dishes are meticulously prepared with the finest and freshest ingredients. Our pastas and entrees are served piping hot from our kitchen to your table.

Montecatini has been awarded "Best of East Bay" for Best Italian Restaurant in the East Bay Area by Diablo Magazine for several years. As of January 2022 our chef, Ermes Paulin, has passed ownership down to two of Montecatini's long-time employees, Terrance and Taylor George. They plan to keep Montecatini thriving on its "old school" vibe while enhancing the cocktail and wine program. So come in and experience Montecatini for yourself and see what a true hidden gem we are!

Top review

Michael

Dined 1 day ago

Unfortunately for me it has been over a year and a half since I last dined here.. I was not disappointed!!!! As usual the service was over the top, our food, Excellent! If you haven't eaten here...you should! Enjoy!

Discover more

Experience

Daily Happy Hour from Open - 6:30PM

Delizie

4.9

4.9 (676)

$31 to $50

Italian

San Carlos

About the restaurant

"Delizie" meaning delicious, is an enthusiastic endeavor to preserve sacred family traditions & bring delight to peoples’ plates far beyond Italy's borders. Hailing from Calabria, the infamous "toe" of the Italian peninsula where the mountains meet a breathtaking coastline, owner Francesco Ruggiero brings to life the richness of this southern region's culinary heritage, introducing & reacquainting others with an irresistible array of savory flavors & vibrant aromas. Using a combination of carefully selected imports & fresh, locally grown ingredients, you can indulge to your heart's desire in a variety of homemade pastas & traditional dishes. To render the meal complete pair your food with an appealing wine from a list featuring Italian & Californian wines that best suit your palate. The restaurant itself maintains a cozy, relaxed, yet elegant feel that invites others to join in the ambience that comes to life when the simplest things are brought to the table: good food, wine & people.

Top review

Rino

Dined on Jun 1, 2025

Growing up in southern Italy and having eaten here multiple times, we appreciate its authenticity and not having the usual Olive Garden type Italian items on the menu. They go through great lengths importing and acquiring the right ingredients to make it taste authentic. Keep up the good work!

Discover more

Popular dish

Spaghetti alla Carbonara

Popular dish

Gnocchi di Mare

Explore Diners' Choice best of San Francisco Bay Area

Explore more Diners' Choice lists