Diners' Choice: Italian restaurants in Pittsburgh / Western PA

OpenTable

Updated July 05, 2025

Looking for restaurants with the best overall Italian cuisine in Pittsburgh / Western PA? 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!

Falsetti's Villa Restaurant

4.9

4.9 (583)

$30 and under

Italian

Kittanning

About the restaurant

Family owned Italian restaurant happily serving our customers in the region for more than 50 years. We offer pasta, poultry, beef, veal, seafood entrees; soups, salads, sandwiches and desserts; soft drinks, beer, wine and cocktails. We also provide trays and half trays; to-go service; and, a large backroom that can accommodate parties of up to 30 people. Please check out our menu online for a complete listing.

Top review

Caitlin

Dined 3 days ago

The Villa is always delicious! Very consistent and delicious.

Forma Pasta Cafe & Market

4.8

4.8 (106)

$30 and under

Italian

Sewickley

About the restaurant

A quaint Sewickley Fresh Pasta Kitchen & Market, serving your favorite Italian Classics with a modern approach, featuring in-house fresh made pasta, sauce, and more - come join us Friday & Saturday evenings between 5-9 PM for dinner. Open for Breakfast & Lunch throughout the week.

Top review

AndrewVIP

Dined on Jun 20, 2025

Our first time at Forma Pasta was very enjoyable. Everything was delicious, especially the fresh pasta. Huge portions, had to take some home. Love the generous BYOB policy. will definitely be back.

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Arlecchino Ristorante

4.9

4.9 (709)

$50 and over

Italian

McMurray

About the restaurant

Arlecchino is a representation of the heart and soul of the wonderful world of Cuisine di Italiano. We are the sister restaurant of Cento Anni Alla Famiglia located on the hilltop of Pittsburgh. We are a full service restaurant which specializes in artisanal recipes passed down from Alla Famiglia along with the creativity from our chefs that prepare different nightly menus and desserts. 100% of our items are hand crafted duplicating the integrity of the old world.

Bar 1904, which is located upstairs in the balcony of our main dining room, is not only beautiful and cozy but by the hands of our talented bar tenders prepares hand crafted cocktails, beers and an outstanding wine list to choose from.

Dining at Arlecchino is an experience and may take time. We do allow 2 hours for parties of 2, 2.5 for parties 3-4 and 3 hours for parties over 5. Please be aware that your table may be booked after these time periods. If you would like to shorten your experience, please let us know!

Top review

ElieciaVIP

Dined 3 days ago

Our experience is always outstanding ! The food, service, atmosphere is always excellent! There is nothing to say other that it’s amazing every single time and worth every cent !

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4.8

4.8 (655)

$50 and over

Italian

East Liberty

About the restaurant

Fish Nor Fowls chic, Italian influenced menu centers on beautiful ingredients, simply executed to deliver an experience like none other in Pittsburgh. The natural, clean design of the space combines functionality with comfort and beauty. Visionary Chef, Richard DeShantz, creates a rustic menu with modern takes on classic Italian inspired dishes.

Top review

Mike

Dined 1 day ago

The food was delicious and the service was above and beyond. Will definitely go back again.

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4.8

4.8 (1209)

$50 and over

Italian

South Side

About the restaurant

Alla Famiglia has been delighting local and traveled guests in this very same location for over two decades. This "diamond in the rough" is conveniently located on the hilltop of Pittsburgh's South Side. Boasting a fine dining atmosphere, its family owned and operated, and promises to deliver a consistent product with every visit. You will be greeted and treated like family, as you enjoy homemade scratch Italian specialties, an award winning wine list, and complex scratch cocktails. Dine in an old world atmosphere under paddle fans, exposed brick, antiquities from all around the world. Six unique and interestingly decorated dining rooms comprises the character of this institution which started with just 8 tables, 25 years ago. Choose from daily provisioned fishes and exotics from the sea, dry and wet aged Prime beef, tender milk fed veal, and homemade maccheroni are just some of the choices you will have to select from. Crown the evening with our pastries prepared on site.

Top review

Sara

Dined 6 days ago

We celebrated our 15th wedding anniversary at Alla Famiglia, and it was an unforgettable experience from start to finish. The atmosphere was warm and romantic—perfect for a special night out—and the service was truly exceptional. Our server, Deborah, made us feel celebrated and cared for the entire evening with her attention to detail and thoughtful recommendations. For dinner, we enjoyed the filet mignon paired with a crisp Caesar salad and their signature tableside Cacio e Pepe—which was as fun to watch as it was delicious. The grouper feature was perfectly cooked and paired beautifully with the house salad and their rich and flavorful vodka sauce over pasta. To top it all off, we ended the night with a beautifully presented raspberry tiramisu and blueberry cannolis, served on a plate adorned with “Happy Anniversary” written in chocolate—a sweet and thoughtful touch. Alla Famiglia made our milestone celebration feel incredibly special, and we’re already looking forward to our next visit. Highly recommend for any occasion that deserves to be remembered.

Pizzaiolo Primo - South Fayette

4.7

4.7 (288)

$31 to $50

Italian

Bridgeville

About the restaurant

Welcome to Pizzaiolo Primo, home of truly Authentic Italian Cuisine. Pizzaiolo Primo roots trace back to Pittsburgh circa 1996, with an original credo: create Neapolitan pizza and other authentic dishes using old-world techniques and the highest quality ingredients available.

Top review

Jon

Dined 7 days ago

Good place, food was good, not great. Service was really good, ambiance was great.

Pino's Contemporary Italian Restaurant & Wine Bar

4.8

4.8 (1283)

$31 to $50

Italian

Point Breeze

About the restaurant

Welcome to Pino's Contemporary Italian Restaurant & Wine Bar!
Pino's is a small neighborhood eatery tucked away in Pittsburgh's popular East End neighborhood of Point Breeze. You will often find regulars from the neighborhood and new guests enjoying dinner and drinks. With a warm decor of Italian mosaic tabletops, rich woods and colors, Pino's is a welcoming spot where Executive Chef & Owner Joseph "Pino" Mico proves there's more to Italian cuisine than just red sauce. Here you will find a merging of creative interpretations of the Italian classics as well as Mediterranean cuisine that is thoughtful and complex. Please be sure to view our most current menu offering on our website at : www.chefpino.com

Top review

Dennis

Dined on Jun 26, 2025

Friendly and welcoming staff. Excellent food and service.

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Popular dish

Fried Calamari

Joseph Tambellini

4.8

4.8 (2574)

$31 to $50

Italian

Highland Park

About the restaurant

Located in Highland Park, Joseph Tambellini Restaurant offers the very best Italian inspired cuisine.
Featuring expertly crafted fresh fish, steaks, fresh pasta, traditional chicken and veal dishes.
Also beautiful hand made desserts and an extensive Italian and Californian wine list.

Owned and Operated by Joseph and his wife Melissa, the staff is dedicated to bringing you an overall exceptional dining experience. Warm, romantic fine dining in the true Tambellini family tradition.

*VERY IMPORTANT* FOR FIRST FLOOR SPECIFIC REQUESTS-contact the restaurant by phone to make your reservation. We cannot guarantee First Floor for online reservations.

*We will call you the day of your reservation to confirm your reservation so PLEASE HAVE YOUR CURRENT CONTACT INFORMATION IN YOUR PROFILE. IF WE DO NOT SPEAK WITH YOU THE DAY OF, WE MAY NOT BE ABLE TO HONOR YOUR RESERVATION!

Outdoor patio, open weather permitting.

Price (the average cost of dinner, including one drink and tip): $40 to $75

Top review

Judi

Dined on Jun 21, 2025

Food is fresh and delicious. Service was excellent

Senti Restaurant

4.8

4.8 (1946)

$31 to $50

Italian

Lawrenceville

About the restaurant

Top 100 Fit For Foodies in America: Senti Restaurant is an Italian restaurant and wine bar/lounge located on Butler St. in Lawrenceville (off street parking available). We serve authentic, modern Italian food originated from traditional recipes. Our automated wine dispenser is available for customers to self serve, if desired, using a prepaid gift card. We offer fine Italian wines both by the bottle or in measured pours in the wine dispenser.

We are also equipped to provide a private and elegant space for your private events, business luncheons, lunch and learns, rehearsal dinners, bridal and baby Showers, holiday parties and birthday parties.

Top review

MikeVIP

Dined on Jul 3, 2025

Wonderful dinner for my mom's 90th birthday. The staff was great and gave the special lady lots of time and attention. All the food was delicious.

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Popular dish

Ravioli con Nduja

Vallozzi's Greensburg

4.7

4.7 (559)

$31 to $50

Italian

Greensburg

About the restaurant

Vallozzi’s Greensburg has been a fine dining destination in Western Pennsylvania for nearly four decades. An enticing menu is comprised of Vallozzi family traditions, including housemade pastas, our famous pizzas and only the freshest meat and seafood. The award winning wine list features mostly Italian and Domestic labels, but also features a smattering of International variety.

Top review

Valerie

Dined on Jul 2, 2025

We met some friends who we hadn't seen in 5+ years, so it was nice that the noise level was low, and we were able to enjoy each other's company. The service was great, the food was good and so nicely prepared. It was a great experience, and we will definitely go back.

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