Best Italian Restaurants in East Harlem
8 hand-picked restaurants, critic-reviewed and ranked
Last Updated: February 2026
Our Top Pick
Rao's
Tiny, reservation-locked Italian room where 120-plus years of regulars, family recipes, and stories make dinner feel like a private club.
Essential Picks
#1
Rao's
9.2
Rao’s is the tiny East Harlem Italian institution that’s nearly impossible to book, with just a handful of tables, celebrity-tinged regulars, and family-style service. If you can get in, it becomes a once-in-a-while romantic splurge built around classic meatballs, lemon chicken, and a room that hasn’t really changed in decades.
Must-Try Dishes:
Rao’s Famous Meatballs, Double Broiled Lemon Chicken, Seafood Salad
What Makes it Special: Tiny, reservation-locked Italian room where 120-plus years of regulars, family recipes, and stories make dinner feel like a private club.
Notable Picks
Long-running East Harlem Puerto Rican and Spanish restaurant known for mofongo, pernil, and live-leaning weekend energy. Locals use it for family dinners, celebrations, and classic plates that have anchored Spanish Harlem since the 1990s.
Must-Try Dishes:
Shrimp mofongo with garlic sauce, Pernil with arroz con gandules, Chuletas fritas (crispy pork chops)
What Makes it Special: Decades-strong Puerto Rican and Spanish staple with big portions and live-leaning energy.
8.5
Roman-focused East Harlem trattoria where Grandma-style lasagna shares space with spritzes and handmade pastas. Locals lean on it for hearty red-sauce platters, brunch pasta, and a bar that works as well for a quick plate as a longer sit-down meal.
Must-Try Dishes:
Grandma’s lasagna with veal ragù and béchamel, Shrimp pesto homemade pasta special, House red wine by the glass
What Makes it Special: Roman-style comfort cooking with a standout Grandma’s lasagna in a moody East Harlem room.
8.2
Vibes:
Cheap Eats Budget Brilliance
Quick Bites Champions
Family Friendly Favorites
Group Dining Gatherings
Busy East Harlem counter spot with an unusually deep menu of classic and specialty pies, from grandma squares to buffalo chicken and penne vodka-topped options. It’s the move when you want delivery-friendly pizza with lots of topping choices rather than a bare-bones slice shop.
Must-Try Dishes:
Grandma Pie, Buffalo Chicken Pie, White Pie
What Makes it Special: A huge, topping-heavy New York slice and pie menu under one roof.
8.2
Neighborhood Italian restaurant known for handmade pastas and a Lasagna Bolognese built on house-made sheets, béchamel, and meat sauce. It’s the move when you want a sit-down lasagna dinner that feels like a proper night out without leaving East Harlem.
Must-Try Dishes:
Lasagna Bolognese with homemade lasagna sheets, Gnocchi with braised lamb ragù, Spaghetti and meatballs
What Makes it Special: Handmade pastas and a rich Lasagna Bolognese in a cozy East Harlem townhouse space.
8
Vibes:
Cheap Eats Budget Brilliance
Comfort Food Classics
Family Friendly Favorites
Quick Bites Champions
Long-running East Harlem slice shop dating back to the early 1960s, known for straightforward New York pies and quick counter service on a busy stretch of 116th Street. Regulars use it for cheap slices, whole pies, and a no-frills stop before or after errands in the neighborhood.
Must-Try Dishes:
Large Cheese Pie, Mushroom Slice, Garlic Bread
What Makes it Special: Decades-old 116th Street counter doing classic New York slices at low prices.
8
A newer East Harlem trattoria from the team behind nearby Café D’Anvers, Girasole blends handmade Italian pastas with Brazilian-leaning cocktails in a sunflower-accented room. It’s a flexible date-night move when you want a proper sit-down dinner that still feels fun, with Aperol spritz deals and wine-plus-oysters specials.
Must-Try Dishes:
Eggplant Parmesan, Pesto Fettuccine, Arancini
What Makes it Special: New-school trattoria with handmade pasta, Brazilian cocktails, and playful, sunflower-filled decor.
Worthy Picks
7.8
Italian-style cafe and wine bar near 97th and Madison where families can share panini, pizzette, and pastries by day, and adults linger over aperitivo and glasses of wine at night. The room leans cozy and European, giving neighborhood families a lower-key Italian option a few blocks from Central Park.
Must-Try Dishes:
Prosciutto and mozzarella panini, Pizzette with Italian toppings, Cornetto and cappuccino
What Makes it Special: A Carnegie Hill Italian cafe where you can do cappuccinos, panini, and pizzette with kids by day and aperitivo with adults by night.