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 Jack: Adorable place. Fettuccine with pancetta & mushrooms w/red cream sauce is insanely good and the creme brûlée is divine!!!
Keri Corfield: Excellent Italian food! Loved the Petto di Pollo Rosmarino! The fettuccini Alfredo had a creamy, delicious sauce!
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 :)
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 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 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 😍
4. L'ottavo Ristorante
7.3
692 Sutter St (at Taylor), San Francisco, CA
Italian Restaurant · Lower Nob Hill · 20 tips and reviews
Bryan Pangilinan: Now with new management, service is friendly and attentive. Food is yummy, my favorite being the L'ottavo fettucine. A must!
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 Hickox: Fettuccine L'ottavo is great
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: Try the Smoked Fettuccine With Sea Urchin, Bacon And Quail Egg
Mary X: The smoked fettucini w uni, bacon, and egg was delicious! Desserts were yummy too!
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.
T Z: Linguine w clams and Fettucine w scallops were super good though quite creamy and fills you really quickly.
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 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.
9. Roxy's
7.6
2847 Mission St (25th), San Francisco, CA
Café · Mission District · 15 tips and reviews
Navin: 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 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 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.
10. Via Veneto
7.1
2244 Fillmore St, San Francisco, CA
Italian Restaurant · Pacific Heights · 11 tips and reviews
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 Shobeiri: Get the fettucine Alfredo and ask for the house merlot!
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!
11. 54 Mint
7.6
16 Mint Plz (at Jessie St), San Francisco, CA
Italian Restaurant · SoMa · 92 tips and reviews
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 Misiorski: Gnocchi yum, pork, chicken, fettuccine. Everything enjoyed.
Best 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.
12. Aliment
7.7
786 Bush St (at Mason St), San Francisco, CA
American Restaurant · Nob Hill · 65 tips and reviews
Sanketh Shetty: The mac and cheese, the Brussel sprouts, the diver scallops and the fettuccine are great.
Ro J: Brussel sprouts and mac n cheese were outstanding! Chicken fettuccine and gnocchi were superb!
Mike Letsche: Try the incredible duck salad, pork belly and the fresh made donut for dessert! Great service, great food, great night out!
13. Calzone's Pizza Cucina
7.5
430 Columbus Ave (Vallejo St.), San Francisco, CA
Italian Restaurant · North Beach · 116 tips and reviews
Dave Morin: get the fettucine alfredo with point reyes blue cheese. you can't go wrong.
Robyn Eckersley: Try the Red Russian. Do it. Oh and the crab fettuccini :)
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.