1. Cotogna
9.2
490 Pacific Ave (at Montgomery St), San Francisco, CA
Italian Restaurant · Jackson Square · 236 tips and reviews
Fiona Stripe: The ravioli is amazing. We ordered it for dessert as well as having it as our main course!
Eater: They had us at housemade ricotta. [Eater 38 Member]
AD Nys: No reservations? No worries. Cozy up to the fire at the chef's counter. Enjoy a close-up view of the pizza, veggie and wood-fired prep and friendly conversation with the sous chefs.
Amber Overton: Just about anything you order here is amazing! I had the pesto lasagne and it was light and perfection. Real Italian made from scratch pastas!!
David Bishop: Quite an amazing menu for lunch, their specialty, with a dinner menu 'to go' from 3:30-6:30.
Yasemin Ozcan: You can't go wrong with their truffle ravioli, any of the lasagna, and caprese salad. After the meal, enjoy espresso made all'italiana
3. La Ciccia
9.1
291 30th St (at Church), San Francisco, CA
Italian Restaurant · Fairmount · 76 tips and reviews
Wilson Favre-Delerue: Fabulous, intimate, fun and DELICIOUS. Particularly love the family running this neighbourhood gem.
Eater: Not so much San Francisco Italian, as pure unadulterated regional Italian, this family-run sparkler is free of pretension and full of love. Don’t miss the sea urchin pasta. [Eater 38 Member] Read more.
SF Weekly: SF Weekly's Best of Winner 2010 - Editorial Pick - BEST ITALIAN CUISINE
5. a Mano
8.9
450 Hayes St (Octavia Street), San Francisco, CA
Italian Restaurant · Hayes Valley · 66 tips and reviews
Tom Maxwell: Incredible pasta — the bucatini with red sauce was great. Great wait staff too
Kim Oswell: Get the asparagus, spring onion, lemon, caciocavallo pizza! Great place to grab a casual dinner and get your fill of delicious Italian dishes.
Diana Pojar: The cauliflower appetizer is amazing - must have, super flavorful. For the main you cannot do wrong with any of the pasta choices.
8. Delfina
8.9
3621 18th St (Guerrero St), San Francisco, CA
Italian Restaurant · Mission Dolores · 125 tips and reviews
Eater: You can make the argument that no restaurant in the last decade has changed the dining landscape quite like Delfina and its pizzeria offshoot next door. And that's a good thing. [Eater 38 Member] Read more.
Brett Lider: You can't make a reservation on OpenTable, but you can make one on DelfinaSF.com. Highly recommended.
Varun Shetty: I'm eating by myself. This gnocchi with duck ragout came out. I put my phone away and just enjoyed it. It was beyond wonderful #dipset
9. Seven Hills
8.6
1550 Hyde St (btwn Pacific Ave & Jackson St), San Francisco, CA
Italian Restaurant · Nob Hill · 60 tips and reviews
Ryan Marimon: Stuffed pastas are their specialty! But everything was incredible! Great Italian wine list as well!
Jaylynn Mitchell: Most amazing!! Alex the host is the best in the city, and be sure to try to the ravioli. It's to die for...
Kevin Cahill: Ravioli is ridiculous, beyond ridiculous. All the pasta is light and flavorful. One of the best pasta meals ever had
11. Beretta
8.5
661 Divisadero St (Grove), San Francisco, CA
Italian Restaurant · Panhandle · 10 tips and reviews
Kadi Baarstad: Love this place! Food and service are seriously amazing every time. Yeah, it's chilly (eating outside for covid) but what do you expect sitting outside in SF?! Get the arancini and the oxtail risotto!
Cole Kennedy: Enjoyed our pizzas, particularly the special with broccolini and sausage, but also the Bartender’s Pie.
Bharat Murali: Walnut bread, focaccia and the spicy marinara pizza are fantastic
Jessica Lam: I always love trying their specials. Their pasta is always perfect, a great slice of Italy here at home ☺️
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 😍
Josh Pyles: Best lasagna I've ever had. You really can't go wrong with anything here though.
14. Jackson Fillmore
8.2
2506 Fillmore St (at Jackson St), San Francisco, CA
Italian Restaurant · Pacific Heights · 26 tips and reviews
Duncan Carroll: Impossible to go wrong here. Excellent pasta, salads, and wide Italian wine selection.
W Z: Affogato and tiramisu made me cry cause it was so good. The tortellini is AMAZING
Brian: Awesome bruschetta. Ask for a second or third helping, they won't mind!
15. Beretta
9.0
1199 Valencia St (at 23rd St), San Francisco, CA
Italian Restaurant · Mission District · 489 tips and reviews
Chelsea Otakan: Awesome brunch. Get the egg pizza.
Mazda: If you like Bon Iver, pizza and hipster chicks, you've found a home.
Bravo: Hip, hip, hip in the Mission District. Hard to get in but easy on the wallet with great cocktails and wine list. -Tim Nugent, Top Chef Just Desserts