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Diners' Choice: Italian restaurants in West County

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Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in West County? 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 Peppe's Apt 2 restaurant
4.9
4.9 (107)
$50 and over
Italian
Kirkwood
About the restaurant
An Exquisite Way Of Dining Italian Cuisine With a Mediterranean Flair; PLEASE NOTE: Garden Seating is Available Upon Request - Weather Permitting
Top review
RickVIP
Dined 5 days ago
Pepe’s is always great! No surprises. Love the food and service.
A photo of Napoli 2 restaurant
4.8
4.8 (2874)
$30 and under
Italian
Chesterfield
About the restaurant
Café Napoli is a family owned restaurant, established in 1989 by Tony and Kathy Pietoso. Quickly becoming a success, they moved the small basement restaurant to a larger location at the corner of Forsyth and Bemiston in the heart of Clayton. In 2003, sons Ande and Kye expanded their family restaurant by adding Bar Napoli, a swank cocktail lounge. A few years later, Napoli Reserve was added onto Bar Napoli allowing for private event space and an additional bar and lounge for the weekends. After years of a flourishing business, Kathy and Tony decided to take their ventures West to Town and Country where they opened their second location, Napoli2, managed by Ande. Kye has taken the reigns from his father and is now the front man for the 8,000 square foot establishment in Clayton. Café Napoli and Bar Napoli have recently undergone a face lift inside and out. Inside the kitchen, Executive Chef from Napoli2 Jon Berger was recently added to the team, bringing fresh ideas and innovation to the regional Italian specialties.
Top review
TammyVIP
Dined 3 days ago
A cozy but elegant ambiance and food is exceptional
A photo of Sapore Italian Cafe restaurant
4.7
4.7 (728)
$30 and under
Italian
Kirkwood
About the restaurant
When I opened my doors in July of 2009, I committed to serving the freshest Italian dishes made from local and seasonal ingredients. I learned early the heart of Italian cooking is the flavor…or sapore. My school of teaching was from the best; my Nonna Elena and Mother Lia. Their philosophy has been carried on in my style of cooking: use simple ingredients and the food will speak for its self. Classic Italian dishes grace the menu but are personalized with my unique touch. Quality and consistency is what you will find with each dish. I would never serve anything short of that. So whether you are looking for a memorable night out or a glass of wine with friends, I am glad that you have chosen Sapore. As in true Italian tradition, I enjoy bringing people together through food. Ciao –
Top review
WilliamVIP
Dined on Jun 3, 2025
A favorite for years, four of us dined here before Stages performance. Food choices and specials are excellent. One of us had a pasta dish, one seafood and one chicken. Nice sized servings with such great taste. Wine choices are very good as the bread and olive oil! We will keep going back!
A photo of Napoli 3 restaurant
4.8
4.8 (2176)
$30 and under
Italian
St. Charles
About the restaurant
Café Napoli is a family owned restaurant, established in 1989 by Tony and Kathy Pietoso. Quickly becoming a success, they moved the small basement restaurant to a larger location at the corner of Forsyth and Bemiston in the heart of Clayton. In 2003, sons Ande and Kye expanded their family restaurant by adding Bar Napoli, a swank cocktail lounge. A few years later, Napoli Reserve was added onto Bar Napoli allowing for private event space and an additional bar and lounge for the weekends. After years of a flourishing business, Kathy and Tony decided to take their ventures West to Town and Country where they opened their second location, Napoli2, managed by Ande. Kye has taken the reigns from his father and is now the front man for the 8,000 square foot establishment in Clayton. Café Napoli and Bar Napoli have recently undergone a face lift inside and out. Inside the kitchen, Executive Chef from Napoli2 Jon Berger was recently added to the team, bringing fresh ideas and innovation to the regional Italian specialties.
Top review
Stanley
Dined 2 days ago
Great experience, service was amazing, food was delicious. We'll be back next anniversary.
A photo of Napoli Kirkwood restaurant
4.8
4.8 (230)
$31 to $50
Italian
Kirkwood
About the restaurant
The Pietoso family is excited to open Napoli Kirkwood, which will feature items from all restaurants; including pizza from the newest establishment, Napoli Brothers. Executive chef Micah Curtis will bring fresh and innovative Italian cuisine to the Kirkwood area.
Top review
KimberlyVIP
Dined 4 days ago
We always enjoy our time at Napoli and Drew was great!
A photo of Buzzetta’s Italian Cafe restaurant
4.6
4.6 (138)
$30 and under
Italian
Chesterfield
About the restaurant
Executive Chef Lia Buzzetta and her son Tony bring a lifetime of experience and authentic flavor directly from Palermo, Sicily to Chesterfield, MO. With over 40 years experience operating some of the finest restaurants in St. Louis, Lia and Tony are excited to bring their newest creation to life.
Top review
PattiVIP
Dined 3 days ago
By far, the BEST bolognese sauce in St. Louis! The salmon was amazing. Very large portions.
A photo of Piazza Messina restaurant
4.9
4.9 (363)
$30 and under
Italian
Cottleville
About the restaurant
Piazza Messina is a premier lakeside event venue in cozy Cottleville, Missouri that also offers unique dining options for small groups throughout the week. "Sips" is open on Wed, Thurs, and Sundays, offering casual dining and drinks - the perfect way to unwind with family and friends. An exciting bistro menu features hearty sandwiches, flatbreads, unique salads, and shareables along with weekly chef's specials from 4-8 pm. Our Brunch menu is offered Sundays from 10 am - 1 pm - there's something for everyone! And don't let our Italian name fool you - we love to explore cuisines which you'll see in our weekly specials. Check our website and follow us on social media for live entertainment, food specials, and our bartenders' latest creations!

Brunch Menu: 10:00 - 1:00 Sunday
Sunday Sips: 11:30 - 4:00 p.m. with live music, Bistro Menu, and weekly food/drink specials
Sunset Sips: Wednesday and Thursday 4-8 p.m. (bar/food specials, wine features, theme nights, and live entertainment)

Top review
Kerri
Dined on May 11, 2025
We do this every mother's day and it is always a pleasant experience and great atmopsphere.
A photo of Charlie Gitto's at Hollywood Casino restaurant
4.7
4.7 (3040)
$31 to $50
Italian
Maryland Heights
About the restaurant
Charlie Gitto’s At Hollywood Casino offers the same delicious cuisine as its sister locations – paired with the fast-paced atmosphere of Hollywood Casino. The restaurant boasts a menu of Italian favorites including pasta, veal & chicken entrees plus delicious steaks & seafood specialties.
Top review
Linda
Dined 5 days ago
Karen our waitress was great, friendly, efficient and made out dinner as good as the delicious pastas we enjoyed
A photo of John Mineo's Italian restaurant
4.5
4.5 (57)
$50 and over
Italian
Town and Country
About the restaurant
John Mineo's Italian Restaurant in Town and Country, Missouri, stands as an iconic establishment in Saint Louis, boasting a rich history of over 50 years. Renowned for its upscale classic Italian cuisine, the restaurant prides itself on delivering a memorable dining experience.

Specializing in the freshest seafood and a delectable assortment of homemade pastas, John Mineo's reflects a commitment to culinary excellence. What sets it apart is the attention to detail, including elaborate tableside presentations—a rare and delightful touch in an era where few restaurants emphasize such personalized service.

This dedication to tradition and quality has made John Mineo's a cherished destination for those seeking a taste of timeless Italian culinary craftsmanship in the heart of Missouri.

Top review
PaulaVIP
Dined on Jun 9, 2025
Consistently great food & service. I love this place.
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