Fino Restaurant is one of The 15 Best Places for Fettuccine in San Francisco.

1. Fino Restaurant

7.9
624 Post St (btw Taylor St & Trader Vic Aly), San Francisco, CA
Italian Restaurant · Lower Nob Hill · 52 tips and reviews

N J.N Jack: Adorable place. Fettuccine with pancetta & mushrooms w/red cream sauce is insanely good and the creme brûlée is divine!!!

Keri C.Keri Corfield: Excellent Italian food! Loved the Petto di Pollo Rosmarino! The fettuccini Alfredo had a creamy, delicious sauce!

Sashy R.Sashy Richmond: I really enjoyed the Fettucine Alfredo with mushrooms & spinach. Also, their Cappesante Piccante is really flavorful but you should make sure they do not overcook the scallops :)

Lupa Trattoria is one of The 15 Best Places for Fettuccine in San Francisco.

2. Lupa Trattoria

8.0
4109 24th St (btwn Castro & Diamond), San Francisco, CA
Italian Restaurant · Noe Valley · 25 tips and reviews

Sreejita D.Sreejita Deb: Fettuccine- porcini and oyster mushrooms with drizzled truffle oil. Win!

Melissa H.Melissa H: You can't go wrong here. Good food, good service. The fettuccine tartufate with truffle sauce is especially yummy.

Christophe L.Christophe Lamperti: Order the Fettuccine Tartufate or the Buccatini Amatriciana.

The Italian Homemade Company is one of The 15 Best Places for Fettuccine in San Francisco.

3. The Italian Homemade Company

8.2
1919 Union St (at Laguna St), San Francisco, CA
Italian Restaurant · Union Street · 35 tips and reviews

Kris B.Kris B: Excellent, reasonably price pasta. Was crazy fast to get the food too. Had the fettuccine with meatballs. Huge portion for $12. Will definitely come back. Get it while it's still non-Union priced.

Jennifer K.Jennifer Krinke: Fettuccine w/Meatballs, Veg ravioli w/ marinara & gnocchi w/pesto. Mouth still watering 😛. The veg ravioli was my fav although all were SO delicious and authentic with the homemade, fresh pasta

Shawna M.Shawna Marie: Pasta made in house! Great gnocchi and the white sauce goes perfectly with it! If you see their donut like desserts out, grab one. There's one filled with Nutella 😍

L'ottavo Ristorante is one of The 15 Best Places for Fettuccine in San Francisco.

4. L'ottavo Ristorante

7.3
692 Sutter St (at Taylor), San Francisco, CA
Italian Restaurant · Lower Nob Hill · 20 tips and reviews

Bryan P.Bryan Pangilinan: Now with new management, service is friendly and attentive. Food is yummy, my favorite being the L'ottavo fettucine. A must!

Bob F.Bob Fleshman: This restaurant was run by an Italian family for decades. Ownership, management, and all the recipes recently changed hands--and the service is better. Get the L'Ottavo fettuccine!

Eli H.Eli Hickox: Fettuccine L'ottavo is great

SPQR is one of The 15 Best Places for Fettuccine in San Francisco.

5. SPQR

8.0
1911 Fillmore St (btwn Bush & Pine St), San Francisco, CA
Italian Restaurant · Lower Pacific Heights · 171 tips and reviews

N8 W.N8 W: Try the Smoked Fettuccine With Sea Urchin, Bacon And Quail Egg

Mary X.Mary X: The smoked fettucini w uni, bacon, and egg was delicious! Desserts were yummy too!

T Z.T Z: best meal of my life. best Italian food ever. everything was just too good. we got the chicken mousse, wagyu beef (alright, tasted like sausage), smoked fettucine, some type of spaghetti.

Uncle Vito's Pizza is one of The 15 Best Places for Fettuccine in San Francisco.

6. Uncle Vito's Pizza

7.9
700 Bush St (at Powell St), San Francisco, CA
Pizzeria · Downtown San Francisco-Union Square · 91 tips and reviews

Stéphane R.Stéphane Rangaya: Order the Fettucine Siena and ask for mushrooms instead of dried tomatoes. It's delicious!

Lefteris A.Lefteris Avramidis: Check the pizza and the pasta of the day. Fettuccine Alfredo was super tasty.

Pavel Z.Pavel Zhivulin: Fettuccine with baby clams and white sauce is really good! And try house wine!

Allegro Romano is one of The 15 Best Places for Fettuccine in San Francisco.

7. Allegro Romano

8.0
1701 Jones St (at Broadway St), San Francisco, CA
Italian Restaurant · Russian Hill · 19 tips and reviews

Neil R.Neil Rosos: Fettucini w/ White Truffle > your favorite italian dish

Jessica S.Jessica Strack: Allegro makes it into our top 5 dining experiences. We spent the evening talking with Lorenzo while having a delicious meal. He shaved the black truffles right onto the risotto. What a special meal!

Kaitlin P.Kaitlin Powers: Lorenzo is a beautiful Italian man. His food tastes AMAZING. Steph is the mayor but she cheats

Sotto Mare Oysteria & Seafood Restaurant is one of The 15 Best Places for Fettuccine in San Francisco.

8. Sotto Mare Oysteria & Seafood Restaurant

8.9
552 Green St (at Jasper Pl), San Francisco, CA
Seafood Restaurant · North Beach · 207 tips and reviews

T Z.T Z: Linguine w clams and Fettucine w scallops were super good though quite creamy and fills you really quickly.

Genieve V.Genieve Vega: Get the cioppino to share for the table, and the fettuccine salmon is the best pasta, best salmon I’ve ever had

Daniel P.Daniel Pearson: This is my happy place. Fresh seafood, great family-run service, and house white wine. Order the seafood linguini with "pink" sauce. You will not be disappointed.

Roxy's is one of The 15 Best Places for Fettuccine in San Francisco.

9. Roxy's

7.6
2847 Mission St (25th), San Francisco, CA
Café · Mission District · 15 tips and reviews

NavinNavin: Get the 4 course chef's tasting menu for $20 (cash only), great value! Remember to BYOB, and enjoy this incredible fettuccine a la bolognese!

Serious EatsSerious Eats: Order Anastaysia's Milkshake, a blend of vanilla frozen yogurt, almond milk and ripe avocado. It's creamy, rich and decadent tasting. Read more.

Zachary R.Zachary Reiss-Davis: Now featuring Chef Manny Torres Gimenez in a pop-up Italian restaurant concept including a $10 homemade pasta with meat sauce at lunch that is solid.

Via Veneto is one of The 15 Best Places for Fettuccine in San Francisco.

10. Via Veneto

7.1
2244 Fillmore St, San Francisco, CA
Italian Restaurant · Pacific Heights · 11 tips and reviews

Jen D.Jen Driscoll: Best fettucine with clams, Caesar salad, and best crepes with ice cream with espresso cream yum!! Best meal in a Long time!

Shobeir S.Shobeir Shobeiri: Get the fettucine Alfredo and ask for the house merlot!

Justin W.Justin Williams: Two words: Veal limone. I've been coming here over ten years; order it 80% of the time its so good! Don't be surprised if the charming & hilarious owner offers you lemoncello. He *clearly* loves it!

54 Mint is one of The 15 Best Places for Fettuccine in San Francisco.

11. 54 Mint

7.6
16 Mint Plz (at Jessie St), San Francisco, CA
Italian Restaurant · SoMa · 92 tips and reviews

Grace S.Grace S.: Carbonara is overrated and a bit too salty for me. Loved the homemade fettuccine with either pork Ragu or porcini mushroom sauce.

Michael M.Michael Misiorski: Gnocchi yum, pork, chicken, fettuccine. Everything enjoyed.

Best ofBest of: If you love authentic Italian food, 54 Mint is as authentic as it gets. The place is owned by Italians and offers great classics from Gnocchi to Alfresco. Be sure to try their Tiramisu for dessert. Read more.

Aliment is one of The 15 Best Places for Fettuccine in San Francisco.

12. Aliment

7.7
786 Bush St (at Mason St), San Francisco, CA
American Restaurant · Nob Hill · 65 tips and reviews

Sanketh S.Sanketh Shetty: The mac and cheese, the Brussel sprouts, the diver scallops and the fettuccine are great.

Ro J.Ro J: Brussel sprouts and mac n cheese were outstanding! Chicken fettuccine and gnocchi were superb!

Mike L.Mike Letsche: Try the incredible duck salad, pork belly and the fresh made donut for dessert! Great service, great food, great night out!

Calzone's Pizza Cucina is one of The 15 Best Places for Fettuccine in San Francisco.

13. Calzone's Pizza Cucina

7.5
430 Columbus Ave (Vallejo St.), San Francisco, CA
Italian Restaurant · North Beach · 116 tips and reviews

Dave M.Dave Morin: get the fettucine alfredo with point reyes blue cheese. you can't go wrong.

Robyn E.Robyn Eckersley: Try the Red Russian. Do it. Oh and the crab fettuccini :)

Annie B.Annie B.: Italian potstickers. Caesars salad. Crab pasta. I love it all! Sit outside under the heat lamps for a super romantic dinner, or just enjoy the people-watching. Great service, too.

Mozzarella di Bufala is one of The 15 Best Places for Fettuccine in San Francisco.

14. Mozzarella di Bufala

7.7
69 West Portal Ave, San Francisco, CA
Brazilian Restaurant · West Portal · 23 tips and reviews

Paulo Marcello(Lelo) D.Paulo Marcello(Lelo) Diogo: Try the Fettuccini Carbonara- With ham and peas in a Parmesan cheese cream sauce

Bruce L.Bruce Leininger: Try their Brazilian menu. Mostly good stuff, much more authentic than most I've tried in Bay Area. Good alternative to the rather tired Brazilian Restaurant type "Churrascaria".

BrianBrian: Have the Greco pizza

Franciscan Crab Restaurant is one of The 15 Best Places for Fettuccine in San Francisco.

15. Franciscan Crab Restaurant

7.9
Pier 43 1/2 (at The Embarcadero), San Francisco, CA
Seafood Restaurant · Fishermans Wharf · 156 tips and reviews

Donielle C.Donielle Charles-Jones: The chicken fettuccine with added crab is delicious

GusGus: Very cool views! Decent service and plates with a very good service! Seafood Fettuccine is a bit spicy but delicious!

Mr M.Mr Maggio: Do not miss the iron skillet woth mussels, shrimp and crab. Its a must