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Diners' Choice: Italian restaurants in South Carolina

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OpenTable
Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in South Carolina? 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 Pomodori - Hilton Head restaurant
4.9
4.9 (2098)
$31 to $50
Italian
Hilton Head Island
About the restaurant
Due to the intimacy of our Restaurant and to guarantee your dining experience, reservations are almost always required all year long.

Please be mindful when booking reservations. If you select "OUTDOOR SEATING" you WILL be dining on our screened in patio. If you select "STANDARD SEATING" you will be at a table inside in one of our dining rooms. Same day changes may not be possible. Requests for bar seating can only be made by calling the restaurant - not through reserving times on Open Table. For same day reservations please call the restaurant after 3:30 for the most up to date availability!

Our Food is Fresh, Our Wines are Old, Our Recipes are Timeless, Our Family is Yours.

Grazie,
Amanda

Top review
SharonVIP
Dined 3 days ago
We were fortunate enough to get a last minute reservation to Pomodori and what a delightful experience it was. The ambiance and food were outstanding and our server Dolly was well versed on the menu and it felt like we had an old, dear friend hosting us for dinner. Excellent all around!
A photo of Casa Calamari restaurant
4.7
4.7 (38)
$30 and under
Italian
Surfside Beach
About the restaurant
An amazing Italian-American eatery, Casa Calamari is one of the best Italian spots in Surfside Beach, SC. Always ready to treat our guests, Casa Calamari is a must-try restaurant in the Horry County area.
We offer a number of gourmet pizzas, excellent calzones & strombolis, and the authentic flavor bomb that is our pasta. There are so many great Italian choices with us and they're all worth a try. You'll definitely want to come back and have a little bit of everything!
For the healthy eaters out there - a selection of top-notch salads and excellent seafood dishes that are light and filling is always available. We also serve tasty sandwiches and rich main courses for the hungriest! The dessert section is a mix of Italian and classic American favorites that soothe the soul.

Top review
Joan
Dined on Jun 22, 2025
Excellent food! Reasonable prices. Great service.
A photo of The Market Cafe at Michael Anthony's restaurant
4.9
4.9 (1647)
$31 to $50
Italian
Hilton Head Island
About the restaurant
Michael Anthony’s Market Cafe, the sister restaurant to Michael Anthony’s Cucina Italiana, features casual, trattoria-style dining for lunch and dinner plus an Italian specialty shop. Located just across the breezeway from Michael Anthony’s, we cater to almost all of your culinary desires.
Here we showcase a menu of lighter fare including sandwiches, salads, pasta, pizza and smaller portions of our chefs’ acclaimed meat and seafood dishes. We also have Italian coffees and a full bar. "Hilton Head Monthly" readers have voted us their “Favorite New Restaurant” and “Favorite Lunch Place.”
Join us for Happy Hour (4:30pm-5:30pm), when we offer specially-priced cocktails, wine and perfectly-sized snack plates.
Or stop in and browse our carefully-curated specialty foods. They include cheeses, fresh meats, house-made pastas, olive oil, tomato products, heat-and-serve entrees and homemade desserts.
Please visit our website or call for dining reservations.

Top review
MichaelVIP
Dined 2 days ago
Excellent place. Great food and service. Prices are also great. Really enjoyed it.
A photo of Luigi's Trattoria restaurant
4.8
4.8 (2619)
$30 and under
Italian
Myrtle Beach
About the restaurant
Luigi’s Trattoria welcomes you to visit us.. We are a family-owned restaurant known for great food, great staff, beautiful decor, and so much more.
Top review
Richard
Dined 6 days ago
Awesome food and attentive service. Good bang for the buck.
A photo of Gios Italian Kitchen - Pawleys Island restaurant
4.8
4.8 (286)
$30 and under
Italian
Pawleys Island
About the restaurant
Prepare to be thrilled at this all-star Italian restaurant located off Ocean Highway in Pawleys Island, SC. Gios Italian Kitchen is family owned and operated since August 7th, 2014. Brothers/Chefs Klodjan & Renato Hoxha run the kitchen while the sister/GM Eri handles the front. Parents are also involved in the business operation on a daily basis. The Hoxha family was born in Albania and moved to the United States in 2003, seeking the American dream. The family has 17 years of experience in cooking. Our chefs make all the dishes with the freshest ingredients and highest quality of product. Gios serves the best marinara sauce and some of the tastiest authentic Italian dishes in the Grand Strand. We pride ourselves in providing quality consistent good food while emphasizing in excellent guest service. Eat Fresh. Eat Well. Eat Local.
Top review
paula
Dined on Jun 23, 2025
Good and service are always great. Specials are very good as well as regular menu items.
A photo of Ciao Italian Restaurant restaurant
4.8
4.8 (1892)
$30 and under
Italian
Myrtle Beach
About the restaurant
Escape to Italy without leaving Myrtle Beach at Ciao Italian Restaurant. Step inside and let the aromas of garlic, simmering sauces, and delicious dishes transport you to Italy. This family-owned gem has been serving authentic Italian cuisine since 2006, using cherished family recipes. At Ciao, every dish is a masterpiece made with the finest ingredients. Start with signature "Starters" like the mozzarella caprese or carpaccio surf & turf. For your main course, indulge in handmade pasta, fresh seafood, or tender veal specialties, each bite reflecting their commitment to quality and flavor. Ciao also offers a warm, inviting atmosphere with rustic Italian decor and an open kitchen where you can see the culinary magic. On pleasant evenings, enjoy al fresco dining on the outdoor patio, soaking in the ocean breeze and vibrant Myrtle Beach energy. Whether celebrating a special occasion or craving Italian flavors, Ciao Italian Restaurant promises an unforgettable dining experience.
Top review
Hank
Dined 4 days ago
Excellent meals with great service by Fabian, lovely and accommodating hostesses. Our favorite meal during our Myrtle Beach visit.
A photo of Costa Coastal Kitchen & Bar restaurant
4.7
4.7 (767)
$30 and under
Italian
Murrells Inlet
About the restaurant
Coming Soon!
Top review
Corrina
Dined 1 day ago
Always great at Costa! Red grouper and Filet were both great.
A photo of OMBRA Cucina Italiana restaurant
4.8
4.8 (6187)
$30 and under
Italian
Hilton Head Island
About the restaurant
Top chef Michael Cirafesi, voted Best Chef Hilton Head Island seven years in a row, brings to Hilton Head Island and the low country region one of the area’s most acclaimed Italian restaurant and bar, OMBRA Cucina Italiana, located in the beautiful Village at Wexford on the south end of Hilton Head Island. Come and enjoy innovative Italian cuisine along with an extensive wine list including Italian Benchmark wines. Stop by to relax at our bar and lounge with a spectacular selection of Italian specialty cocktails, apertifs, and digestivos. Our pasta entrees can be made with gluten free pasta upon request to accommodate customers with allergies. We also have vegan/vegetarian options upon request.
Top review
Carol
Dined 4 days ago
We visit this restaurant every time we are in Hilton Head, and have consistently been pleased with the food, wine list and ambience. The waiters have always been very friendly and attentive. It’s a “can’t miss” special little place to have a nice Italian dinner!
A photo of Portofino Italian Kitchen & Wine Bar restaurant
4.9
4.9 (738)
$30 and under
Italian
Myrtle Beach
About the restaurant
Open Table DINER'S CHOICE AWARD 2025!
UPDATE: OPEN on SUNDAY May 11th, Mother's Day
An elegant atmosphere to relax and taste uniquely authentic food, with a twist of Italian creativity! House made focaccia, pesto, lasagna, eggplant parm, zuppa di pesce , house made lobster ravioli....and many other dishes that match the best Italian culinary tradition! And our vibrant bar is ready to serve any cocktails, liquors and a large selection of Italian and international wines. Giovanni and Ilma Carapelli are waiting to welcome you, together with our incredible staff members!













Top review
donVIP
Dined 2 days ago
Ownership and staff are super attentive and friendly the food is absolutely awesome five star rating 
A photo of Ristorante Bergamo restaurant
4.7
4.7 (681)
$50 and over
Italian
Greenville
About the restaurant
Fine Northern Italian dining with an experienced NYC Chef
Top review
JamesVIP
Dined 2 days ago
Outstanding food and very friendly service. Baby artichokes were fantastic.
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