Top Five Italian Restaurants in San Francisco

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1 Acquerello

The dining experience here is second to none. With a jewel box setting in an old chapel, the whole dining experience is serene and soulful. Choose between the Prix Fixe, Classic Tasting and Seasonal Tasting menus to experience both classic and contemporary Italian interpretations. While many of us mourn the banned and no long available Foie Gras Raviolo, we can enjoy the perfectly runny beet red Risottos and incredible lobster panzarotti. Acquerello also boasts one of the most extensive Italian wine menus in the city.
1722 Sacramento St (415) 567-5432

2 Delfina

Delfina is without a doubt, a San Francisco classic for Italian Food.  With such a well-established reputation, they are always packed to capacity for good reason.  Known for delicious, simple, Italian food, Delfina serves up house made pastas, risottos, and specialty dishes.  Copa Di Testa, Speck, Grilled Fresh Calamari, and Spaghetti, are all highlights on the menu.  Desserts are also divine.  Even a chocolate lover would swoon over the panna cotta.

Reservations are recommended, otherwise, be prepared for the long wait outside.

Quick tip:  The right side of the restaurant has a limited number of tables and bar seating reserved for walk-ins.

3621 18th Street (between Guerrero St. and Oakwood St.)

San Francisco, CA  94110

Neighborhood:  Mission/Dolores


3 Incanto

With a top chef masters winner Chris Costentino as executive chef, it's a no-brainer that this would be on our top 5. He's usually in the kitchen and is often showing the new recruits how to craft that perfect salad. Inventive, playful and always daring, the menu places a strong emphasis on offal and uses only the finest ingredients to bring forth unique flavor combinations. There's a special menu which often sells out each night but one main stay classic they will always have is the pork sugo with a duck egg on top.
1550 Church St (415) 641-4500

4 La Cicca

La Cicca is located in the quiet residential Noe Valley, and has become a beloved Italian eatery in all of San Francisco.  Guests bring their repeated business to this small and busy venue. Known for its creative menu full of exciting but classic dishes like spaghetti bottarga and octopus stew, Chef Massimiliano Conti obtains original ingredients that are made only in Sardinia!  Portions are generous, so don't be bashful about sharing in a group.  You'll leave feeling that you really know about many of the best food regions in the world.

291 30th St  (between Chenery St & Church St)

San Francisco, CA 94131

Neighborhoods: Noe Valley, Glen Park


5 Ristorante Bacco

One of the select San Francisco restaurants to receive a Michelin rating, Ristorante Bacco is on every "top Restaurant" list.  It goes without saying that Ristorante Bacco serves up authentic, fresh Italian food.  Pastas and risottos are made from scratch daily

Quick tip:  Bacco offers gluten-free substitutions for several of their pastas AND bread.

737 Diamond St (between 24th St & Elizabeth St)

San Francisco, CA 94114

Neighborhood: Noe Valley


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