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Best Italian Restaurants in Downtown St. Louis

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19 restaurants available nearby

A photo of Eleven Eleven Mississippi restaurant
1. Eleven Eleven Mississippi
4.7
Exceptional(4563)
Price: Moderate
• Italian • St. Louis
Booked 29 times today
Experience the best of American cuisine at Eleven Eleven Mississippi, a standout gem nestled in the charming Lafayette Square neighborhood of St. Louis. Known for its impeccable blend of Tuscan and Northern Californian influences, this restaurant offers an "exceptional dining experience" in a beautifully restored historic brick warehouse. Diners rave about the "outstanding" quality of dishes like the wild boar ravioli and grilled petite filet mignon, all served amidst a cozy atmosphere with oak-fired brick ovens and two inviting fireplaces. With a reputation for consistent excellence in both food and service, Eleven Eleven Mississippi is a must-visit for American cuisine enthusiasts.
A photo of Charlie Gitto's 'On the Hill' restaurant
2. Charlie Gitto's 'On the Hill'
4.8
Exceptional(7177)
Price: Expensive
• Italian • The Hill
Booked 78 times today
Charlie Gitto's On the Hill offers an unparalleled dining experience, embodying the very essence of exquisite Italian cuisine in St. Louis. Renowned for its "amazing" and "exceptional" food, this landmark restaurant has consistently delighted patrons with its homemade breads, pastas, and desserts. Diners rave about the "great cuisine" and the "to die for" chocolate torte, making it a perfect spot for both special occasions and casual family outings. The staff's "incredibly attentive" service and warm hospitality ensure every visit is memorable. Whether you're a local or visiting St. Louis, Charlie Gitto's promises a taste of authentic Italian excellence.
A photo of Edera Italian Eatery restaurant
3. Edera Italian Eatery
4.7
Exceptional(98)
Price: Expensive
• Italian • Central West End
Booked 15 times today
Edera Italian Eatery, nestled in the heart of Saint Louis’s vibrant Central West End, offers an authentic dive into exquisite American cuisine. Chef Andrew Simon’s commitment to quality is reflected in every dish, with ingredients sourced both locally and from Italy, ensuring a fresh and delightful experience. Guests rave about the "exceptional service and amazing food," praising the restaurant's inviting atmosphere and outstanding culinary offerings. The "beautiful courtyard" and alfresco dining add a touch of European charm, making Edera the perfect spot for both special occasions and everyday dining. Come experience what many hail as a "new favorite" in American cuisine!
A photo of Al's Restaurant restaurant
4. Al's Restaurant
4.6
Exceptional(522)
Price: Very Expensive
• Italian • Downtown St. Louis
Booked 2 times today
Al's has defined fine-dining in St. Louis for 100 years; a beloved landmark that earned its reputation as one of the top restaurants in the U.S. Featuring award-winning steaks, lobster, seafood and pasta, Al's creates the total dining experience. Fresh menu presentation, elegant tableside service, beautiful ambiance, generous portions and excellent wine list are the standard. Traditional offerings plus signature dishes like, "Beef Romano". Bananas Foster is a must for a rich after dinner indulgence, or perhaps one of our coffee specialties. 3rd & 4th generations of the Barroni family invite you to join us for a nightly celebration of outstanding food, wine and ambiance.Al's Restaurant is a City of St. Louis Historical Landmark (#130) & EMMY award recipient. We are in close proximity to entertainment and sports venues, city attractions, beautiful hotels & casinos. Reservations are required with credit card to hold - refer to www.alsrestaurant.net or 314-421-6399 for more information.
A photo of Lorenzo's Trattoria restaurant
5. Lorenzo's Trattoria
4.7
Exceptional(2315)
Price: Moderate
• Italian • The Hill
Booked 7 times today
Nestled in the heart of St. Louis’ The Hill, Lorenzo’s Trattoria captures the essence of Contemporary Italian cuisine with a delightful Northern twist. Diners rave about the "best Italian food in St. Louis," highlighting the authentic house-made gnocchi, risottos, and signature braised Ossobuco. The menu creatively blends traditional and modern flavors, making each visit a culinary adventure. Guests appreciate the "fantastic service" and "classy yet laid-back" ambiance, perfect for family dinners or business meetings. With an extensive wine list and dishes like Veal Piccata and Chicken Spedini, Lorenzo’s stands as a "neighborhood gem" where every meal is a memorable experience.
A photo of Guido's Pizza and Tapas restaurant
6. Guido's Pizza and Tapas
4.8
Exceptional(671)
Price: Moderate
• Italian • The Hill
Booked 8 times today
Nestled in the vibrant neighborhood of The Hill, Saint Louis, Guido's Pizza and Tapas delivers an authentic and exceptional Pizzeria experience that delights locals and visitors alike. With a reputation for offering "the best thin crust pizza" in the area, Guido's stands out for its delectable, flavorful crusts and abundant toppings that have earned rave reviews. Guests consistently highlight the "life-altering" quality of the pizza, praising the "amazing" taste that keeps them returning. The warm and inviting atmosphere, combined with attentive service, ensures a memorable dining experience, making Guido's an irresistible choice for pizza enthusiasts seeking genuine Pizzeria cuisine.
A photo of Rigazzis restaurant
7. Rigazzis
4.0
Excellent(44)
Price: Moderate
• Italian • The Hill
Booked 7 times today
Rigazzi’s, nestled in the heart of The Hill, St. Louis, is a beacon of exceptional American cuisine, artfully blending robust flavors and warm hospitality. As the oldest restaurant in this historic neighborhood, Rigazzi’s has perfected the art of offering “a timeless experience” through its meticulously crafted dishes. Known for generous portions and “great food,” this iconic eatery never fails to impress with its menu rich in authentic Italian-American classics. Guests rave about the “creamy and smooth” fettuccine Alfredo and the “juicy and flavorful” chicken Spedini. Rigazzi’s truly stands as a cherished cornerstone for those seeking genuine American dining excellence.
A photo of Dominic's on the Hill restaurant
8. Dominic's on the Hill
4.8
Exceptional(1121)
Price: Expensive
• Italian • The Hill
Booked 7 times today
Dominic's on the Hill in St. Louis is a testament to the pinnacle of Continental cuisine, offering an unparalleled dining experience that has delighted patrons for decades. With its Florentine atmosphere and "authentic Italian charm," the restaurant's dedication to quality is evident in every dish, from the delicate veal saltimbocca to the perfectly prepared tortellini. Diners consistently rave about the "exceptional service" and "impeccable food," with reviews frequently highlighting the warm, family-like hospitality that transforms each meal into a special occasion. Award-winning and celebrated, Dominic's remains a beloved culinary destination for those seeking the finest in Continental dining.
A photo of Bar Italia Ristorante restaurant
9. Bar Italia Ristorante
4.5
Awesome(977)
Price: Expensive
• Italian • Central West End
Booked 1 time today
Bar Italia Ristorante is the epitome of authentic European, bringing the heart of Italy to the Central West End of St. Louis. With a reputation for offering "the best pasta in St. Louis," this restaurant delivers an upscale dining experience that transports you straight to a Roman trattoria. Diners rave about the "exceptional food and beverage" that consistently delights with fresh ingredients and exquisite flavors. The ambiance is truly enchanting, especially on their "beautiful patio," which provides a serene backdrop reminiscent of historic Italian streets. Whether it's a romantic evening or a casual get-together, Bar Italia promises a memorable culinary journey.
A photo of Casa Don Alfonso - The Ritz-Carlton St. Louis restaurant
10. Casa Don Alfonso - The Ritz-Carlton St. Louis
4.4
Awesome(1366)
Price: Very Expensive
• Italian • Clayton
Booked 26 times today
Casa Don Alfonso at The Ritz-Carlton St. Louis is a beacon of Contemporary Italian dining, offering an exquisite journey that blends traditional flavors with modern flair. Celebrated for winning the 2024 Wine Spectator Best of Award of Excellence, this culinary gem in Clayton, Saint Louis, invites you to savor the essence of the Sorrento Coast. Patrons rave about "the most delectable bites" crafted by renowned Italian restaurateur Mario Iaccarino, with dishes like braised beef ravioli and ricotta-stuffed gnocchi leaving diners in awe. The ambiance is described as an "oasis of Sorrento," making every meal a memorable, authentic Italian experience.

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See what locals rave about

From verified diners like you
From verified diners like you
  • RobertVIP
    Denver / Colorado •66 reviews
    5.0
    Dined 2 days ago
    Once again, we had a great time and great meal at Charlie Gitto’s “On the Hill.” Our server, Scott, did a great job (as well as all of the other helpers of the wait staff). Our food was delicious as always and my Valentine’s Day Special - “Land and Sea” was good to the last bite. Our visits to Charlie Gitto’s is never complete without the Cannoli. We look forward to coming back again soon!
    More info
    Charlie Gitto's 'On the Hill'Price: Expensive• Italian• The Hill
    •
    4.8
  • Jeff
    Los Angeles •9 reviews
    5.0
    Dined 3 days ago
    This is the second time I have been to Lorenzo’s. It did not disappoint. I brought my partner and a friend. My partner has never been to St Louis before and I wanted her to experience the food in The Hlll. She loved it. The waiter was courteous and attentive, the restaurant I would t say is loud but there definitely is a good buzz of people talking and enjoying each other’s company. I will definitely recommend and hopefully come back in the future on trips to St Louis.
    More info
    Lorenzo's TrattoriaPrice: Moderate• Italian• The Hill
    •
    4.7
  • Stuart
    St. Louis •5 reviews
    5.0
    Dined 3 days ago
    A fine dining experience as usual. The short ribs and the filet were perfectly prepared and delicious. Great service (almost too fast the night we were there). It's a wee pricey but if you don't eat out often, it's worth it.
    More info
    Eleven Eleven MississippiPrice: Moderate• Italian• St. Louis
    •
    4.7
  • CarolynVIP
    St. Louis •75 reviews
    5.0
    Dined 4 days ago
    If I could give more stars, I would. The space was decorated gloriously for Valentine’s Day. Joe’s wait service was efficient and well-paced. Food and wine was fabulous as usual! We had a wonderful V-Day with so much value added at Edera!
    More info
    Edera Italian EateryPrice: Expensive• Italian• Central West End
    •
    4.7
  • Thomas
    St. Louis •2 reviews
    5.0
    Dined on 10 Feb 2025
    As usual, Guido’s was excellent from start to finish.
    More info
    Guido's Pizza and TapasPrice: Moderate• Italian• The Hill
    •
    4.8

Discover best Italian restaurants in Downtown St. Louis

Discover the vibrant Italian dining scene in Downtown St. Louis, where a variety of Italian restaurants offer an authentic taste of Italy right in the heart of the city. Each restaurant in this locale provides a unique blend of traditional and contemporary Italian dishes, catering to a range of tastes and preferences. From classic pastas and gourmet pizzas to innovative Italian-inspired entrees, the culinary offerings are crafted with fresh, high-quality ingredients. The dining experience is enhanced by the charming ambiance and attentive service that each establishment prides itself on. Whether you're seeking a casual meal or a sophisticated dining experience, Downtown St. Louis's Italian restaurants promise an unforgettable culinary journey. This area is renowned not only for its food but also for providing a delightful dining atmosphere that perfectly complements the rich flavors of Italy.

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