Enable JavaScript to run this app.
Skip to main content
OpenTable logo
  1. Home
  2. United States
  3. San Francisco Bay Area

Best Italian Restaurants in Pacific Heights

Price
Regions
Areas
Top Rated
Dining Options
Seating options
Award-winning
Accessibility

101 restaurants available nearby

A photo of The Tailor's Son restaurant
1. The Tailor's Son
4.7
Exceptional(205)
Price: Expensive
• Italian • Pacific Heights
Booked 50 times today
The Tailor's Son in Pacific Heights, San Francisco, is not just a haven for fans of Northern Italian cuisine but also a standout destination for cocktail enthusiasts. Guests rave about the "world class cocktails" and the "creative & unique" mixes that complement the restaurant's savory dishes. Reviewers highlight the "Nice Negronis" alongside an array of other expertly curated beverages, making it clear that the bar at The Tailor's Son is a craft in its own right. With a vibrant atmosphere and consistent praise for its innovative drinks, it’s no wonder that patrons describe their experiences as "wonderful," emphasizing the bar's integral role in their delightful dining adventures. Whether you're a local or a visitor, The Tailor's Son offers a cocktail experience that is both authentic and memorable.
A photo of Florio restaurant
2. Florio
4.7
Exceptional(1742)
Price: Moderate
• Italian • Pacific Heights
Booked 18 times today
Florio, nestled in the charming Pacific Heights neighborhood of San Francisco, is a celebrated haven for Italian cuisine enthusiasts. Patrons rave about the authenticity and quality of its offerings, highlighting dishes like the "amazing" pasta Bolognese and "exceptional" cioppino that showcase Florio's commitment to traditional Italian flavors. The restaurant's ambiance is frequently described as "cozy" and "casual," perfect for a romantic evening or a lively dinner with friends. Critics and regulars alike commend Florio for its "excellent food and service," with one guest noting, "The bolognese pasta was the best I’ve ever had." This neighborhood gem continues to impress with its well-crafted menu and warm, inviting atmosphere.
A photo of Pizzeria Delfina - Pacific Heights restaurant
3. Pizzeria Delfina - Pacific Heights
4.8
Exceptional(116)
Price: Moderate
• Italian • Pacific Heights
Booked 18 times today
Pizzeria Delfina is a pizzeria that combines the pizza culture of Naples, Italy with that of modern New York City. Neapolitan pizza is a very specific type of pizza, as is that of New York City. By combining the best elements of both, Pizzeria Delfina has created a style of pizza that is all its own. James Beard Award winners Annie and Craig Stall created this restaurant as a way to fuse their two favorite locales and flavors.Pizzeria Delfina's pizza recipes include both classic recipes and new interpretations. There is the traditional panna pizza with tomato sauce, cream, basil and shaved parmesan as well as the clam pie with cherrystones, oregano, tomato, pecorino romano and hot peppers.
A photo of Jackson Fillmore Trattoria restaurant
4. Jackson Fillmore Trattoria
4.9
Exceptional(1280)
Price: Expensive
• Italian • Pacific Heights
Booked 5 times today
Jackson Fillmore Trattoria is a local favorite for a casual, neighborhood meal. Jack has been cooking up great Roman and Southern Italian food at Jackson Fillmore since 1985. We have a small dining room to accomodate reservations for parties of 3 or more and a dining counter for parties of 2 or those who just drop by. Our wine list is primarily Italian, representing all of the great regions in Italy. Our Bombolotti Sugo de Carne, Carpaccio di Zucchini and Tiramisu are legendary. Check out our website to view samples of the menu and wine list, or for more information about us.
A photo of Che Fico San Francisco restaurant
5. Che Fico San Francisco
4.7
Exceptional(1851)
Price: Expensive
• Italian • North Panhandle / USF
Booked 68 times today
Che Fico in San Francisco's vibrant North Panhandle neighborhood is a gem of Italian cuisine, seamlessly blending California's bountiful produce with the rich traditions of Northern Italy. Chefs David Nayfeld and Matt Brewer craft a menu that sings with authenticity and innovation, from handmade pastas to exquisite pizzas, all rooted in Italian culinary traditions yet influenced by local Californian flavors. Critics rave about the “delicious food” and “exceptional service,” highlighting dishes like the “tagliatelle to die for” and the unique Jewish-Roman offerings. The ambiance is “lively” and “welcoming,” perfect for a celebratory meal or a cozy dinner. As one diner put it, Che Fico provides “the best Italian dining experience in San Francisco,” making it a must-visit for anyone craving top-notch Italian fare with a creative twist.
A photo of Original Joe's - San Francisco restaurant
6. Original Joe's - San Francisco
4.7
Exceptional(4163)
Price: Moderate
• Italian • North Beach
Booked 106 times today
Original Joe's in San Francisco's vibrant North Beach is a true emblem of authentic Italian-American cuisine, offering a dining experience that's both classic and exceptional. Established over 80 years ago, it stands as the oldest of the Joe's restaurants nationwide, pioneering the renowned "Joe's Concept." With its iconic red leather booths and a menu celebrated for its Italian American flair, Original Joe's is a bastion of comfort food crafted with a Northern Californian twist. Glowing reviews often highlight dishes like the "best lasagna I have ever tasted" and praise its "incredible customer service." Whether it's the meatballs or the linguini and clams, each dish is a testament to the restaurant's commitment to quality and tradition, making it a must-visit for those seeking a genuine slice of San Francisco's culinary heritage.
A photo of Little Original Joe's -- Marina restaurant
7. Little Original Joe's -- Marina
4.8
Exceptional(47)
Price: Moderate
• Italian • Marina / Cow Hollow / Presidio
Booked 34 times today
Welcome to Little Original Joe's -- an Italian-American neighborhood eatery featuring pizza, pasta, and parmigiana in San Francisco's Marina neighborhood! Limited reservations are available for up to 6 guests -- we look forward to seeing you soon!
A photo of A16 - San Francisco restaurant
8. A16 - San Francisco
4.6
Exceptional(5010)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 48 times today
At A16 in San Francisco, you'll discover a slice of Campania in the heart of the Marina district. This Michelin-rated gem, celebrated for bringing authentic Southern Italian cuisine to the Bay Area, offers a vibrant menu curated by Executive Chef Yosuke Machida. The wood-fired Neapolitan pizzas are a standout, with diners raving about their "perfect" authenticity and "incredible" flavors. Alongside these, the handcrafted pastas and fresh, organic ingredients highlight the traditional Italian cooking methods. A16's dedication to authenticity doesn’t stop at food—their extensive wine list features unique Italian wines, meticulously selected by owner Shelley Lindgren. As one review puts it, A16 makes you "feel like you're in Italy," making every meal here a delightful culinary journey steeped in Italian tradition and local excellence.
A photo of Seven Hills restaurant
9. Seven Hills
4.8
Exceptional(2435)
Price: Expensive
• Italian • Russian Hill
Booked 45 times today
Welcome to Seven Hills, a celebrated gem nestled in the Russian Hill neighborhood of San Francisco, renowned for its exceptional Seafood offerings alongside its signature Italian cuisine. Diners are consistently captivated by dishes such as the "sublime" special jawbone of striped bass and the "perfectly seasoned" halibut, which spotlight the freshest oceanic flavors. The restaurant's commitment to quality is evident, with reviews raving about the seafood's freshness and expert preparation. As one diner put it, the seafood here makes you "put down your fork and knife and say, 'Wow, this is SO GOOD'." With its cozy ambiance and meticulous service, Seven Hills isn't just a meal; it's a premier culinary adventure that celebrates the best of coastal fare in the heart of San Francisco.
A photo of Terzo restaurant
10. Terzo
4.8
Exceptional(2106)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 17 times today
Terzo, nestled in the charming neighborhoods of Marina, Cow Hollow, and Presidio in San Francisco, is a beacon of Italian cuisine that delights its guests with its authentic and exquisitely crafted menu. Patrons rave about the "incredible food" and highlight dishes like the "light, fluffy and delicious gnocchi" and the "perfectly cooked" pork loin, which are just a few examples of the restaurant's commitment to quality and authenticity. With its "warm, welcoming ambiance" and "knowledgeable and professional" service, Terzo has become a beloved spot for both locals and visitors. As one reviewer put it, "If we were locals, we'd be here all the time." Join the many who have experienced the joy of dining at Terzo and let the flavors of Italy transport you on a delightful culinary journey.

How is content generated

See what locals rave about

From verified diners like you
From verified diners like you

Discover best Italian restaurants in Pacific Heights

Discover the essence of Italian cuisine right in the heart of San Francisco's Pacific Heights. Our curated selection of restaurants offers a delightful exploration of Italian flavors, each establishment showcasing a unique twist on traditional and modern dishes. From hearty pastas to exquisite seafood, every menu item promises an authentic experience that resonates with the vibrant culinary culture of Italy. Pacific Heights provides a charming backdrop with its scenic views and elegant ambiance, enhancing the dining experience. Patrons can expect top-notch service, a warm atmosphere, and a commitment to quality that keeps locals and visitors alike returning for more. Whether you're seeking a romantic dinner spot or a cozy place for family dining, the Italian restaurants in Pacific Heights offer something special for every occasion. Explore the rich, culinary delights of Italy in one of San Francisco's most prestigious neighborhoods.

Explore OpenTable

Discover
OpenTable
  • About Us
  • Blog
  • Careers
More
Our sites
Businesses
  • Delight more diners
  • Restaurant Blog
Join us on
  • Privacy policy
  • Terms of Use
  • Impressum
  • Cookies and Interest-Based Ads
  • Cookie Preferences
Copyright © 2024 OpenTable International Ltd. Alphabeta Building, 14-18 Finsbury Square, London EC2A 1AH - All rights reserved.
OpenTable is part of Booking Holdings, the world leader in online travel and related services.
Booking Logo
Priceline Logo
KAYAK Logo
Agoda Logo
OpenTable Logo