🍕 Best Italian & Pizza in San Francisco
33 italian & pizza spots in San Francisco, scored and ranked for 2026.
🍽️ Open Interactive GuideTop 10 Italian & Pizza Spots
1
Quince
Michael & Lindsay Tusk's Jackson Square flagship, widely considered one of America's finest tasting menus. A hushed, chandelier-lit dining room where every course is a small theater piece -- table...
98
2
Acquerello
Two-Michelin-starred Italian fine dining since 1989 — San Francisco's oldest continuously Michelin-starred restaurant. Chef-owner Suzette Gresham's multi-course compositions honor Piemontese tradition...
95
3
Sorrel
Alexander Hong's Laurel Heights Italian -- an airy corner room with an open kitchen and a pasta-focused menu that reads like a love letter to regional Italy. The tasting menu is one of the best deals ...
93
4
Tony's Pizza Napoletana
Tony Gemignani's North Beach pizza temple runs seven different ovens so it can do a dozen pizza styles under one roof — Neapolitan, Detroit, New Haven, St. Louis, Romana and more. 50 Top Pizza ranked ...
93
5
Cotogna
Michael Tusk's casual Italian sister to Quince, sharing a wall and a kitchen philosophy. Wood-fired pizzas, hand-rolled pastas, and a rotisserie that never stops turning — all at a price that doesn't ...
92
6
Flour + Water
Thomas McNaughton's Mission corner has been making the Bay Area's case for pasta since 2009. A nightly-changing menu of hand-pulled shapes, a Neapolitan oven for the pizza side of the menu, and a room...
91
7
Che Fico
David Nayfeld's upstairs Divisadero dining room -- pink-and-green tiled, impossibly photogenic, and one of the hardest reservations in SF since the day it opened. Roman-style pizza, fresh pasta, and a...
91
8
Penny Roma
Flour + Water Hospitality's Roman-focused spin-off from Thomas McNaughton and Ryan Pollnow. Cacio e pepe done with discipline, carbonara that makes you rethink every other carbonara you've had, and a ...
91
9
SPQR
Ten-time Michelin-starred Italian led by Chef Matthew Accarrino (Food & Wine Best New Chef 2014). Northern California meets the northern Mediterranean: precise pasta, a deep amaro list, and a Wedn...
91
10
Ama by Brad Kilgore
Brad Kilgore's first San Francisco venture -- an 'Itameshi' concept blending Italian technique with Japanese precision. Housemade pasta meets dashi, truffle hits pan-fried rice. Bold fusion from a Mia...
89
All 33 Italian & Pizza Spots in San Francisco
Itria
89
Sotto Mare
89
Tosca Cafe
89
Bar Sprezzatura
88
Piccino
88
A16
88
Delfina
88
Pizzetta 211
86
Via Aurelia
85
Frascati
85
Perbacco
85
La Connessa
85
Beretta
84
Sociale
83
Sorella
83
Fiorella
82
Flour + Water Pizzeria
82
Delarosa
82
Rose's Cafe
80
Bosco
80
Little Original Joe's
80
Flour + Water Pasta Shop
78
Back to Back
74
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