Best Italian Restaurants in San Francisco (94115)
4 hand-picked restaurants, critic-reviewed and ranked
Our Top Pick
Sorrel
MICHELIN-starred pastas and terrace dining led by a Quince-trained chef.
Notable Picks
#1
Sorrel
8.9
Seasonally driven, Michelin-starred Californian-Italian from chef Alex Hong with precise handmade pastas and polished service. Locals book it for special-occasion tasting menus that still feel ingredient-focused rather than fussy.
Must-Try Dishes:
Ricotta gnudi with sage, Strascinati with ’nduja, Madai crudo
What makes it special: MICHELIN-starred pastas and terrace dining led by a Quince-trained chef.
#2
SPQR
8.4
Roman-inspired spot on Fillmore known for serious pasta work and an extensive Italian wine list. The weekly pasta tasting keeps regulars returning while the bar seats suit solo twirls of cacio e pepe.
Must-Try Dishes:
Garganelli, Seasonal tasting-menu pasta, Crispy potatoes ‘Roman’
What makes it special: Chef-driven tasting menus and pastas with patio seating on Fillmore.
8.2
Neighborhood trattoria serving Roman standards since the mid-1980s with warm, unfussy hospitality. It’s the go-to for comforting pastas and classic secondi that haven’t fallen out of fashion.
Must-Try Dishes:
Bombolotti sugo di carne, Carpaccio di zucchini, Tiramisu
What makes it special: Old-school, family-run trattoria with a few coveted sidewalk seats.
Worthy Picks
#4
Pinsa Rossa
7.7
Modern Roman pinseria and beer bar featuring a 72-hour fermented dough that eats lighter than traditional pizza. Counter-friendly service and a tight antipasti lineup make it an easy neighborhood fix.
Must-Try Dishes:
Margherita Pinsa, Fiocchi di Pasta alla Pera, Arancini
What makes it special: Roman-style pinsa with airy, 72-hour fermented crust and taps.