Saint Louis

Best Italian Restaurants in Saint Louis

Looking for the best Italian restaurants in Saint Louis? We've gathered 50 spots serving Italian food in Saint Louis, ranked by real diner reviews and ratings. Browse photos, check menus, and request a free reservation — all in one place. Updated June 2026.

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Best Italian Restaurants in Saint Louis

Pietro's

Bartolino's South

Romano's Macaroni Grill

Rich & Charlie's South County

Rich & Charlie's Italian Restaurant

The Pasta House Co. - Ladue

The Pasta House Co

Pasta Plus Clayton

Fuzio Universal Pasta

Romano's Macaroni Grill

Brio Italian Grille

Frank Papa's Ristorante

The Pasta House Pronto

The Pasta House Co.

Filomena's Italian Kitchen

Ami's Italian Restaurant

Andre's South County

Cibare Italian Kitchen

Cusanelli's

The Pasta House Co.

Del Pietro's House of Pasta

Laganini Pizzeria & Restaurant

Fazoli's

Mangia Italiano

Salume Beddu

Stellina Pasta Cafe

Lorusso's Cucina

Ricardo's Italian Cafe

Zia's Restaurant

J. Devoti Trattoria (formerly Five Bistro)

Volpi Salumeria

Giovanni's on the Hill

Angelo's Taverna

Anthony's Bar

Tony's

Quattro Trattoria + Pizzeria

Charlie Gitto's Downtown

Joseph's Italian Cafe

Caleco's Bar and Grill

Gianino's

Vito's Sicilian Pizzeria & Ristorante

Ricardo’s On Broadway

House Of Savoy

Stefano's

St. Louis Italian Restaurant & Pizza Co.

Cicero's

Paul Mineo's Trattoria

Balducci’s Winefest

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