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🍕 Best Italian & Pizza in San Francisco

11 italian & pizza spots in San Francisco, scored and ranked for 2026.

🍽️ Open Interactive Guide

Top 10 Italian & Pizza Spots

1
Quince
Italian Tasting Menu · Jackson Square
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
Sorrel
Italian · Laurel Heights
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
3
Cotogna
Italian · Jackson Square
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
4
Flour + Water
Italian Pasta · Mission
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
5
Che Fico
Cal-Italian · NoPa
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
6
Penny Roma
Regional Italian · Mission
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
7
Ama by Brad Kilgore
Italian-Japanese (Itameshi) · Jackson Square
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
8
Itria
Modern Italian · Mission
Modern Italian in the Mission focused on handmade pasta and a rotating crudo selection. A small, ingredient-driven room where the pasta dough is mixed daily and the menu changes with what's at the mar...
89
9
Bar Sprezzatura
Italian Cocktail Bar · Financial District
Italian-inspired cocktail bar from TableOne Hospitality with locations in SF and Manhattan. Carlo Splendorini's drinks program leans into amari, negronis, and martinis that feel rigorously made but ca...
88
10
Piccino
Cal-Italian · Dogpatch
The Dogpatch's anchor Italian restaurant -- a yellow Victorian with a sunny courtyard that feels transported from a hill town in Tuscany. Hand-tossed pizzas from the wood oven, pastas that change with...
88

All 11 Italian & Pizza Spots in San Francisco

Via Aurelia
Italian · Mission Bay
85
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