← San Francisco Restaurants

🍕 Best Italian & Pizza in San Francisco

99 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 · Michelin 3 Stars (2025)
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
Italian · Nob Hill · Michelin 2 Stars; James Beard Outstanding Chef (Suzette Gresham-Tognetti) 2025 (semifinalist)
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
Italian · Laurel Heights · Michelin 1 Star
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
Pizza · North Beach · 50 Top Pizza USA 2026 (#2, tied); founder Tony Gemignani is a 13-time World Pizza Champion
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
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
6
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
7
Che Fico
Cal-Italian · NoPa · James Beard Outstanding Chef (David Nayfeld) 2023 (semifinalist)
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
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
9
SPQR
Italian · Fillmore
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
Amarena
Italian · Russian Hill
Amarena has held down a corner rowhouse at Larkin and Green since 2002, when Milan native Paolo Galli opened it as a neighborhood trattoria and still runs the kitchen today. White tablecloths, wine bo...
90

All 99 Italian & Pizza Spots in San Francisco

Ama by Brad Kilgore
Italian-Japanese (Itameshi) · Jackson Square
89
Itria
Modern Italian · Mission
89
Sotto Mare
Seafood / Italian · North Beach
89
Tosca Cafe
Italian · North Beach
89
Bar Sprezzatura
Italian Cocktail Bar · Financial District
88
Piccino
Cal-Italian · Dogpatch
88
A16
Italian · Marina
88
Delfina
Italian · Mission
88
Barberio Osteria
Italian · Mission
88
Seven Hills
Italian · Russian Hill
88
Collina
Italian · Nob Hill
88
Original Joe's
Italian-American · North Beach
88
Piccolo Forno
Italian · Russian Hill
88
Pinsa Rossa
Roman-Style Pizza · Pacific Heights
88
Serafina
Italian · Russian Hill
88
Hi Hat
New York-Style Pizza · Mission District
88
Pizzetta 211
Pizza · Inner Richmond
86
Belotti Ristorante e Bottega
Italian · Oakland
86
Via del Corso
Italian · North Shattuck
86
June's Pizza
Pizza · Oakland
86
Outta Sight Pizza
Pizza restaurant · Tenderloin
86
Trattoria Contadina
Italian · Russian Hill
86
Pizzeria Delfina
Neapolitan Pizza · Mission
86
AltoVino
Italian · Nob Hill
86
Sforno Pizzeria Napoletana
Pizza (Neapolitan) · Hayes Valley
86
Luisa's Restaurant Wine Bar Since 1959
Italian Trattoria · Russian Hill
86
Bella Trattoria
Italian Trattoria · Richmond District
86
La Stazione / Cannoli & Co.
Italian Bakery & Coffee · Potrero Hill
86
Poesia Café
Italian Bakery & Cafe · The Castro
86
Via Aurelia
Italian · Mission Bay
85
Frascati
Italian · Russian Hill
85
Perbacco
Italian · Financial District
85
La Connessa
Italian · Potrero Hill
85
Beretta
Italian · Mission
84
Jupiter
Pizza · Berkeley
84
MAMA
Italian · Adams Point
84
Pasta Supply Co
Italian / Pasta · Richmond District
84
Bocconcino
Italian · North Beach
84
Victoria Pastry Co.
Italian Bakery · North Beach
84
Tommaso's Ristorante Italiano
Neapolitan Pizza / Italian · North Beach
84
Slice House by Tony Gemignani
New York-Style Pizza · Haight-Ashbury
84
Poesia Osteria Italiana
Calabrian Italian · The Castro
84
Caffe Capriccio
Italian Cafe · North Beach
84
Uva Enoteca
Italian - Pugliese · Lower Haight
84
Via Veneto
Old-School Italian · Pacific Heights
84
Sociale
Italian · Presidio Heights
83
Sorella
Italian · Polk Gulch
83
Doppio Zero
Pizza · Hayes Valley
83
Trabocco Kitchen and Cocktails
Italian · Alameda
83
Square Pie Guys
Pizza · SoMa
83
Fiorella
Italian · Inner Richmond
82
Flour + Water Pizzeria
Italian · North Beach
82
Delarosa
Italian Pizza · Marina
82
Sfizio
Italian · Rockridge
82
Angie's Pizza
Pizza · Mission
82
Damnfine
Pizza · Sunset
82
The Laundromat SF
Pizza / Bagels · Richmond District
82
Domenico's Italian Deli
Italian deli · Alameda
82
Jules
Pizza · Lower Haight
82
Il Borgo
Italian · Hayes Valley
82
Casaro Osteria
Italian · Cow Hollow
82
Caffe Trieste
Italian Espresso Bar · North Beach
82
Caffe Greco
Italian Café · North Beach
82
54 Mint Cucina Romana
Roman Italian · SoMa
82
The Sausage Factory
Italian-American · The Castro
82
InoVino
Italian Wine Bar · Cole Valley
82
Florio Bar & Cafe
Italian-French Bistro · Lower Pacific Heights
82
Mattina
Cal-Italian · Lower Pacific Heights
82
Rose Pizzeria
Pizza · Berkeley
81
State Flour Pizza Company
Pizza · Berkeley
81
Gioia Pizzeria
Pizza · Hayes Valley
81
Nob Hill Cafe
Italian · Nob Hill
81
Montesacro
Pizza · SoMa
81
Rose's Cafe
Italian · Cow Hollow
80
Bosco
Italian · SoMa
80
Little Original Joe's
Italian-American · Marina
80
Bottega
Italian · Mission
80
Arizmendi Bakery Panaderia & Pizzeria
Bakery/Pizza · Mission
80
Golden Boy Pizza
Pizza · North Beach
80
a Mano
Italian · Hayes Valley
80
Escape From New York Pizza
New York-Style Pizza · Haight-Ashbury
80
Bizza
Mediterranean Pizza · Haight-Ashbury
80
The Tailor's Son
Northern Italian · Lower Pacific Heights
80
Fly Bar
Bar & Pizza · Fillmore District
80
Firenze By Night
Italian · North Beach
79
Flour + Water Pasta Shop
Italian · Mission
78
North Beach Restaurant
Italian · North Beach
78
Soma Restaurant & Bar
Italian · SoMa
78
Back to Back
Wine Bar · Nob Hill
74
🍽️ Explore All San Francisco Restaurants

More San Francisco Categories

🥞 Brunch 🕯️ Date Night 🍽️ Fine Dining 🔥 BBQ 🍸 Happy Hour ☀️ Patio Dining 🍹 Bars & Cocktails 🌮 Mexican & Tex-Mex 🍣 Sushi & Japanese 😎 Casual Dining 🍺 Breweries & Craft Beer 🥘 Korean 🍜 Vietnamese 🍝 Ramen & Noodles 🫓 Indian 🌿 Thai 🦞 Seafood 🌮 Tacos 🥦 Vegan & Plant-Based ☕ Coffee & Cafés 🥩 Steakhouses 🌆 Rooftop & Views 🥟 Chinese & Dim Sum 🍰 Desserts & Bakeries

Italian & Pizza in Other Cities

NYC Dallas Houston Austin Chicago Salt Lake City Seattle Las Vegas Los Angeles Miami Charlotte San Antonio Nashville Phoenix San Diego Toronto DC Mexico City New Orleans

Dim Hour scores the best restaurants across America. Full guide → · All San Francisco restaurants →