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Best Italian Restaurants in St. Louis Hills

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27 restaurants available nearby

A photo of Charlie Gitto's 'On the Hill' restaurant
4.8
Exceptional(7125)
Price: Expensive
• Italian • The Hill
Booked 65 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 Casa Don Alfonso - The Ritz-Carlton St. Louis restaurant
4.3
Awesome(1322)
Price: Very Expensive
• Italian • Clayton
Booked 39 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.
A photo of O+O Pizza restaurant
4.8
Exceptional(551)
Price: Moderate
• Italian • Webster Groves
Booked 45 times today
O+O Pizza, nestled in the vibrant neighborhood of Webster Groves, is a culinary gem that has garnered rave reviews for its outstanding Pizza Bar experience. Offering "one of the best pizzas" in the area, O+O Pizza blends authenticity with innovation, creating a menu that's as creative as it is delicious. The OG pepperoni pizza with honey is a standout, delighting diners with its unique flavors. Patrons frequently highlight the "fresh, casual, and simple yet sophisticated" atmosphere, complemented by the "always amazing" service. With a commitment to quality and a passion for Italian-inspired cuisine, O+O Pizza is a must-visit for pizza enthusiasts.
A photo of Acero restaurant
4.9
Exceptional(2748)
Price: Expensive
• Italian • Maplewood
Booked 39 times today
Rustic Italian cuisine in the heart of Maplewood that features fresh ingredients from local farmers as well as an all Italian wine list.
A photo of Madrina restaurant
4.5
Awesome(403)
Price: Expensive
• Italian • Webster Groves
Booked 32 times today
Nestled in the charming neighborhood of Old Webster Groves, Madrina offers an exceptional Wine Bar experience that transports guests to the heart of Italy. Patrons rave about the "expert advice of Master Sommelier Alicia," who pairs exquisite wines with the restaurant's delightful menu, making each visit a memorable affair. The intimate atmosphere complements the authentic Italian-inspired dishes curated by Chef Max Crask, ensuring that every meal is a celebration of flavors. Guests frequently mention the "perfect atmosphere for date night" and laud the attentive service. Madrina's dedication to quality and human connection truly sets its Wine Bar apart, promising a delightful dining experience.
A photo of Café Napoli restaurant
4.9
Exceptional(2254)
Price: Moderate
• Italian • Clayton
Booked 50 times today
Café Napoli, nestled in the vibrant heart of Clayton, offers an exceptional dining experience that consistently wins hearts with its superb offerings. This family-owned gem, established by Tony and Kathy Pietoso, thrives on a legacy of excellence, blending authentic culinary traditions with innovative flair. Diners rave about the "fantastic service and delicious food," often describing meals as "the best in St. Louis." With a team led by Executive Chef Jon Berger, the restaurant seamlessly combines regional specialties with fresh, innovative ideas. Whether you're enjoying a meal on their charming patio or inside their newly renovated space, Café Napoli promises "a memorable evening" every time.
A photo of Lorenzo's Trattoria restaurant
4.7
Exceptional(2295)
Price: Moderate
• Italian • The Hill
Booked 11 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
4.8
Exceptional(664)
Price: Moderate
• Italian • The Hill
Booked 20 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 Edera Italian Eatery restaurant
4.7
Exceptional(74)
Price: Expensive
• Italian • Central West End
Booked 39 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 The Crossing restaurant
4.9
Exceptional(2559)
Price: Very Expensive
• Italian • Clayton
Booked 45 times today
The Crossing in Clayton is a culinary gem that elevates Italian cuisine to exceptional heights. The restaurant is renowned for its impeccable blend of "farm to table" freshness and classical Italian techniques, offering dishes that are both authentic and innovative. Chef Jim Fiala and Chef Thu Rein Oo craft each plate with meticulous care, using locally sourced, organic ingredients whenever possible. Diners rave about their experiences, with one declaring it "possibly the best dining experience" they've ever had. The pasta is lauded as "simply the best," while the service is described as "impeccable" and "attentive," making The Crossing a standout choice for Italian dining enthusiasts.
‘About the restaurant’ descriptions have been generated using an artificial intelligence model comprised of OpenTable proprietary data that has not been independently verified by OpenTable. The content is presented as-is, for informational purposes only.

See what locals rave about

From verified diners like you
From verified diners like you
  • Joe
    Kansas City / Kansas •15 reviews
    5.0
    Dined today
    Initially I was reluctant to go here since it is a hotel restaurant but the weather was not good so we went. Good choice! My wife got the burrata caprese salad and I had mushroom and black truffle soup. The caprese was delicate and the soup was rich and perfectly prepared. For main courses my wife had la classics lasagna napoletana, which was firm and deeply meaty, quite delicious. I had the tagliatelle don Alfronso, which was to die for. The sauce with their home grown tomatoes was exquisitely sweet and the home made pasta perfect. I’m of Italian ancestry and have been eating Italian food my whole life and I cannot recall something this delicious, even when we’ve been in Sorrento. The service was attentive and helpful and the owner interested in our thoughts. Highly recommended.
    More info
    Casa Don Alfonso - The Ritz-Carlton St. LouisPrice: Very Expensive• Mediterranean• Clayton
    4.3
  • Laura
    Denver / Colorado •10 reviews
    5.0
    Dined 1 day ago
    Food and service were excellent. Menu choices made it hard to decide what order. Eventually decided on the sea bass special and was delicious. More food than I could eat in one sitting. Cesar salad and cannoli for dessert made for a perfect dinner.
    More info
    Charlie Gitto's 'On the Hill'Price: Expensive• Italian• The Hill
    4.8
  • Marco
    St. Louis •2 reviews
    5.0
    Dined 1 day ago
    Had the tasting menu and it was great as well as the service. Acero never disappoints.
    More info
    AceroPrice: Expensive• Italian• Maplewood
    4.9
  • KurtVIP
    St. Louis •27 reviews
    5.0
    Dined 3 days ago
    We had a great meatball pizza. Hinter was our waiter and he was very attentive.
    More info
    O+O PizzaPrice: Moderate• Pizzeria• Webster Groves
    4.8
  • Anne
    St. Louis •1 review
    5.0
    Dined 6 days ago
    Our waiter was excellent and made great recommendations on wine. Our table of four stayed for a few hours enjoying a high quality meal amongst a lovely atmosphere.
    More info
    MadrinaPrice: Expensive• Italian• Webster Groves
    4.5
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