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Diners' Choice: Italian restaurants in St. Louis

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OpenTable
Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in St. Louis? 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 Acero restaurant
4.9
4.9 (2851)
$31 to $50
Italian
Maplewood
About the restaurant
Rustic Italian cuisine in the heart of Maplewood that features fresh ingredients from local farmers as well as an all Italian wine list.
Top review
LISAVIP
Dined 3 days ago
Acero never disappoints. We had spectacular service and delicious food and wine.
A photo of Peppe's Apt 2 restaurant
4.9
4.9 (116)
$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
WeiliVIP
Dined 6 days ago
Fantastic and the best in town! Love Pepe as we have every bday and big event here
A photo of Café Napoli restaurant
4.8
4.8 (2317)
$30 and under
Italian
Clayton
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
JulieVIP
Dined on Jun 23, 2025
Always a great meal, whether with co-workers, friends or family. Thanks to Tedi for great service!
A photo of Napoli 2 restaurant
4.8
4.8 (2891)
$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
DAVIDVIP
Dined 2 days ago
Incredible as always. Fresh seafood and incredible service
A photo of Sapore Italian Cafe restaurant
4.7
4.7 (731)
$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
David
Dined 3 days ago
Very nice place for any occasion. Food is excellent Love this place
A photo of Charlie Gitto's 'On the Hill' restaurant
4.9
4.9 (7344)
$31 to $50
Italian
The Hill
About the restaurant
Charlie Gitto's On the Hill is a landmark for fine Italian dining in The Hill neighborhood of St. Louis.
Top review
OpenTable Diner
Dined 2 days ago
This is one of our favorite restaurants in Saint Louis. The food and service are always exceptional!
A photo of Napoli 3 restaurant
4.8
4.8 (2180)
$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
DaveVIP
Dined 3 days ago
Amazing meal (as always) and very accommodating staff!
A photo of IL Bel Lago - From the Hill restaurant
4.9
4.9 (1715)
$30 and under
Italian
Creve Coeur
About the restaurant
Il Bel Lago From The Hill. A fixture in St. Louis for 15 years now! Food is what makes an authentic restaurant great, and with its 50 years of experience from their Hill location Il Bel Lago has all the ingredients for excellence. You enter via the fountain plaza to find an open, airy lounge. Il Bel Lago is both elegant and comfortable with floor to ceiling wine racks and private dining spaces.
The Food here is as stunning as the décor. The Italian Cuisine is equal to the very best anywhere in St. Louis. Il Bel Lago's menu rates among the top Italian restaurants in St. Louis, as does the service. Come visit us and see for yourself.
Buon Appetito!

Top review
ScottVIP
Dined on Jun 24, 2025
Best Bolognese sauce in town! I consistently have great meals here.
A photo of Napoli Kirkwood restaurant
4.8
4.8 (248)
$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
williamVIP
Dined on Jun 23, 2025
Excellent service and the meal was outstanding , would definitely go back!
A photo of Buzzetta’s Italian Cafe restaurant
4.6
4.6 (144)
$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
StephanieVIP
Dined 3 days ago
A hidden gem in Chesterfield! Authentic Italian restaurant run by a mother and son. Service was great, food and drinks were delicious. Ambience was great for a night with friends or a romantic dinner. It was our first time there and we felt like family! Can’t wait to go back!
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