Most reviewed Italian restaurants in St. Louis, United States to visit (Updated March, 2024)

The Old Spaghetti Factory

Italian restaurant

Family-friendly chain eatery featuring traditional Italian entrees amid turn-of-the-century decor.

$$ $$

4.20 (3.5K reviews)

Zia's on The Hill

Restaurant

Long-standing option pairs Italian classics with imported wine in a casual, comfy setting.

$$ $$

4.60 (3.4K reviews)

Mama’s On The Hill

Italian restaurant

Veteran red-sauce Italian dining in an old-school cafe setting with kitschy accents.

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4.50 (3.3K reviews)

Anthonino's Taverna

Italian restaurant

Easygoing eatery whipping up hearty plates of Italian & Greek fare, including toasted ravioli.

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4.70 (3.1K reviews)

Favazza's on the Hill

Italian restaurant

Longtime family-owned trattoria delivering Italian classics in warm, brick-walled surroundings.

$$ $$

4.50 (2.7K reviews)

Charlie Gitto's On the Hill

Italian restaurant

Longtime Italian spot with pizzas & toasted ravioli delivered in an old-world, elegant atmosphere.

$$$ $

4.70 (2.4K reviews)

Joey B's on the Hill

Italian restaurant

Bar & grill serving familiar Italian dishes in an easygoing space with TVs & vintage photos.

$$ $$

4.40 (2.2K reviews)

Rigazzi's

Italian restaurant

Clubby Italian-American joint, decked with celebrity memorabilia & known for its pizza & cocktails.

$$ $$

4.20 (2.2K reviews)

Imo's Pizza

Pizza restaurant

No-frills chain specializing in St. Louis-style pies with thin crusts & Provel cheese.

$$ $$

4.20 (2.2K reviews)

Sauce on the Side

Restaurant

👍👍 Nothing on their IG page looked appetizing, but once I visited this location, I was hooked. Puttanesca mushroom mix, Gonzo mushroom, and Cocoa doodle noodle. If these terms are unfamiliar to you, stop by sauce on the side and become acquainted.

$$ $$

4.60 (2.2K reviews)

Guido's Pizzeria & Tapas

Italian restaurant

Mediterranean venue boasts a range of Italian & Spanish fare in a relaxed, welcoming setting.

$$ $$

4.50 (2.1K reviews)

Cunetto House of Pasta

Italian restaurant

Long-standing family-owned restaurant serves up homey Italian meals in an old-fashioned dining room.

$$ $$

4.60 (1.7K reviews)

Sauce on the Side

Restaurant

👍👍 Rating: 4.8 Stars Despite being in St. Louis for years, this was my first time trying Sauce on the Side. Moreover, I have eaten very few calzones in my life. It was a mistake to wait this long on both. I ordered the Meat Me in St. Louie. It was excellent. The outside was cooked perfectly and had a...

$$ $$

4.70 (1.7K reviews)