Top rated Italian restaurants in St. Louis

Experience the best that St. Louis has to offer with our curated list of top-rated places. Sorted by average review scores from venues boasting over 30 reviews, these establishments promise exceptional quality and experiences to elevate your visit in the city. This list contains 50 places from Italian restaurant category.

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Press Pizza and Pasta image
1
Press Pizza and Pasta
Pizza restaurant
👍👍 Sweet gem Caesar salad is fresh, crunch, and De--licious!! The Italian sausage pizza is really good as well. The pizza dough is light and airy, there is no extra pizza crust to toss away. Pickle fennel is a perfect match with sausage meat. This is my favorite pizza store in St. Louis now. You have t...
$$ $$
4.90 (128 reviews)
The Get Down image
2
The Get Down
Bar
👍👍 This is a cool little corner bar with amazing sandwiches. The chicken Philly is a beast and really enjoyed the meatball sub too. Cool little patio with a disc golf goal and Jenga. A small place but everyone here wants to make sure you have a great experience. We will definitely be back!
4.80 (203 reviews)
Riccardo's on Broadway image
3
Riccardo's on Broadway
Italian restaurant
👍👍 The food and service were excellent! The calamari was lightly breaded and perfectly fried. The pasta had a plethora of seafood which was fantastic. The restaurant is off the beaten path. There is a large parking lot out back which felt very safe. There is a biker bar next door; the folks I intera...
4.80 (68 reviews)
Anthonino's Taverna image
4
Anthonino's Taverna
Italian restaurant
Easygoing eatery whipping up hearty plates of Italian & Greek fare, including toasted ravioli.
$$ $$
4.70 (3.1K reviews)
Charlie Gitto's On the Hill image
5
Charlie Gitto's On the Hill
Italian restaurant
Longtime Italian spot with pizzas & toasted ravioli delivered in an old-world, elegant atmosphere.
$$$ $
4.70 (2.4K reviews)
Sauce on the Side image
6
Sauce on the Side
Restaurant
👍👍 Rating: 4.8 Stars Despite being in St. Louis for years, this was my first time trying Sauce on the Side. Moreover, I have eaten very few calzones in my life. It was a mistake to wait this long on both. I ordered the Meat Me in St. Louie. It was excellent. The outside was cooked perfectly and had a...
$$ $$
4.70 (1.7K reviews)
Pietro's image
7
Pietro's
Italian restaurant
Longtime family-owned spot with an Italian menu served in traditional surroundings.
$$ $$
4.70 (1.5K reviews)
Trattoria Marcella image
8
Trattoria Marcella
Italian restaurant
Renowned venue pairing refined Italian cuisine with classic cocktails & a wine list.
$$ $$
4.70 (954 reviews)
Failoni's Restaurant image
9
Failoni's Restaurant
Italian restaurant
Family-run standby for brick-oven pizzas, drinks & occasional live music, open since 1916.
$$ $$
4.70 (625 reviews)
Vinnie's Italian Beef & Gyros image
10
Vinnie's Italian Beef & Gyros
Italian restaurant
👍 Vinnie's Italian Beef & Gyros makes a great attempt at replicating a Chicago-style Italian beef sandwich, but unfortunately falls short due to the use of the wrong type of bread. The “crusty bread” used was too thin and lacked the flavorful crust that is a hallmark of a true Chicago-style Italian b...
$ $$$
4.70 (519 reviews)
LoRusso's Cucina image
11
LoRusso's Cucina
Italian restaurant
Polished but relaxed spot pairs Italian classics with an extensive wine list, plus happy-hour deals.
$$$ $
4.70 (495 reviews)
Joe Fassi Sausage and Sandwich Factory image
12
Joe Fassi Sausage and Sandwich Factory
Sandwich shop
A popular lunch spot, this stalwart, mom-&-pop deli serves up hearty subs & pasta in a retro nook.
$ $$$
4.70 (485 reviews)
Zia's on The Hill image
13
Zia's on The Hill
Restaurant
Long-standing option pairs Italian classics with imported wine in a casual, comfy setting.
$$ $$
4.60 (3.3K reviews)
Sauce on the Side image
14
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 (2.1K reviews)
Cunetto House of Pasta image
15
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)
Gian-Tony's Ristorante image
16
Gian-Tony's Ristorante
Italian restaurant
Long-standing Southern Italian restaurant with old-school atmosphere.
$$ $$
4.60 (705 reviews)
Pan D'Olive image
17
Pan D'Olive
Italian restaurant
Mediterranean & New American small plates & entrees served in upscale, sophisticated surrounds.
$$ $$
4.60 (654 reviews)
Onesto Pizza & Trattoria image
18
Onesto Pizza & Trattoria
Pizza restaurant
Pizza & Italian specialties made with locally sourced ingredients in a warm, upbeat setting.
$$ $$
4.60 (618 reviews)
Mama’s On The Hill image
19
Mama’s On The Hill
Italian restaurant
Veteran red-sauce Italian dining in an old-school cafe setting with kitschy accents.
$$ $$
4.50 (3.3K reviews)
Favazza's on the Hill image
20
Favazza's on the Hill
Italian restaurant
Longtime family-owned trattoria delivering Italian classics in warm, brick-walled surroundings.
$$ $$
4.50 (2.7K reviews)
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