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Best Italian Restaurants in Presidio Heights

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A photo of Sociale - San Francisco restaurant
1. Sociale - San Francisco
4.8
Exceptional(2407)
Price: Expensive
• Italian • Presidio Heights
Booked 15 times today
At Sociale in the charming Presidio Heights of San Francisco, the essence of Californian cuisine is celebrated with a delightful Italian twist. Praised as a "hidden gem" and a "neighborhood jewel," Sociale consistently impresses with its fusion of local freshness and Italian flair, creating a truly unique dining experience. Guests rave about the "perfectly cooked" Seared Scallops and the "delicious and flavorful" pastas, each dish complementing the "impressive" wine list that features both Italian and Californian selections. The enchanting heated patio adds to the allure, making every meal feel like a "secret" discovered. With its "exceptional" service and "quaint" atmosphere, Sociale stands out as a favorite spot in San Francisco for both locals and visitors seeking authentic and innovative Californian cuisine.
A photo of Che Fico San Francisco restaurant
2. Che Fico San Francisco
4.7
Exceptional(1849)
Price: Expensive
• Italian • North Panhandle / USF
Booked 78 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 Little Original Joe's -- Marina restaurant
3. Little Original Joe's -- Marina
4.8
Exceptional(47)
Price: Moderate
• Italian • Marina / Cow Hollow / Presidio
Booked 37 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 Original Joe's - San Francisco restaurant
4. Original Joe's - San Francisco
4.7
Exceptional(4162)
Price: Moderate
• Italian • North Beach
Booked 127 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 Garibaldi's on Presidio restaurant
5. Garibaldi's on Presidio
4.7
Exceptional(2297)
Price: Expensive
• Italian • Presidio Heights
Booked 20 times today
Garibaldi's on Presidio in San Francisco's upscale Presidio Heights delivers a truly authentic Italian dining experience that has captivated both locals and visitors for over three decades. Esteemed for its rich, flavorful Italian dishes, the restaurant is a hub of consistency and quality, with patrons lauding its "delicious, very flavorful and beautifully presented" food. The Chicken Milanese and Spring risotto with asparagus come highly recommended, with guests celebrating the "best Caesar salad in San Francisco." The warm, inviting ambiance complements the expertly crafted cuisine, and the service is consistently described as impeccable. A cherished neighborhood gem, Garibaldi's on Presidio offers an Italian culinary journey not to be missed.
A photo of A16 - San Francisco restaurant
6. A16 - San Francisco
4.6
Exceptional(5009)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 55 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 Delfina Restaurant restaurant
7. Delfina Restaurant
4.8
Exceptional(947)
Price: Expensive
• Italian • Mission
Booked 43 times today
Delfina Restaurant, nestled in San Francisco's vibrant Mission District, is a beacon of Italian culinary excellence, as evidenced by its James Beard Award. This neighborhood trattoria has been enchanting diners with its "consistently exceptional" Italian fare and "superb" ambience. Guests rave about the authentic dishes, from the "best steak in San Francisco" to the "smashingly good" braised veal cheek pasta and "succulent" whole fish. Delfina's dedication to quality shines through in their menu, described by a patron as having "casual elegance." The glowing testimonials underscore the restaurant's appeal, with one diner proclaiming, "Best service we’ve had in years. Food was incredible." This praise solidifies Delfina's status as not just a meal destination but a culinary experience rooted in Italian tradition and innovation.
A photo of The Tailor's Son restaurant
8. The Tailor's Son
4.7
Exceptional(205)
Price: Expensive
• Italian • Pacific Heights
Booked 45 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 Terzo restaurant
9. Terzo
4.8
Exceptional(2105)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 21 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.
A photo of Bella Trattoria restaurant
10. Bella Trattoria
4.7
Exceptional(2517)
Price: Moderate
• Italian • Richmond District
Booked 19 times today
Bella's notorious homemade pasta, cozy & inviting atmosphere and friendly service await you. We feature cusine from Southern Italia- slow cooked sugos, braised meats and housemade pasta.

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See what locals rave about

From verified diners like you
From verified diners like you
  • Daynavip
    San Francisco Bay Area •25 reviews
    5.0
    Dined 2 days ago
    Fabulous, delicious dinner. Cucumber martini is the best. And one of the most delicious Cesar salads ever!
    More info
    Garibaldi's on PresidioPrice: Expensive• Californian• Presidio Heights
    •
    4.7
  • StevenBvip
    Portland / Oregon •6 reviews
    5.0
    Dined 2 days ago
    The house made ravioli was the best ever. The veal was good as well.
    More info
    Original Joe's - San FranciscoPrice: Moderate• Italian• North Beach
    •
    4.7
  • Charlesvip
    San Francisco Bay Area •40 reviews
    5.0
    Dined 3 days ago
    My first time here and can't wait to come back. Beautiful looking restaurant. I went with 2 of my clients for lunch. The 3 appetizers were perfect. Zucchini Fries , Nancy's Caprese , and Beef Carpaccio .... all delicious . I had Black Truffle Cavatelli w/ Toasted bread crumbs , I seriously thought I was back in Italy ! The Lemon Bowtie pasta with Shrimp was another incredible dish . Another dish , Johns House made Raviolis was another super dish . Service was above Parr .... Ben our server ,went above and beyond to make us feel welcomed and well served. don't miss this neighborhood Gem !
    More info
    Little Original Joe's -- MarinaPrice: Moderate• Italian• Marina / Cow Hollow / Presidio
    •
    4.8
  • Douglasvip
    San Francisco Bay Area •206 reviews
    5.0
    Dined 3 days ago
    While the noise level is very high, the food and service is excellent!! The beet salad was possibly the best either of us have ever eaten, the agnolotti is exceptional, and the chocolate desert was rich without over doing it! What a fantastic evening we were able to share at a truly exceptional restaurant in SF. Thanks for making it special.
    More info
    Che Fico San FranciscoPrice: Expensive• Italian• North Panhandle / USF
    •
    4.7
  • Nathan
    San Francisco Bay Area •3 reviews
    5.0
    Dined 7 days ago
    Beautiful dining patio down a cute alleyway in Presidio Heights. Christmas lights, heaters, comfortable yellow lighting, not too loud and great service. The ambiance was 10/10 for our group of 4. Food and wine pairings were fantastic, everything we ordered was delicious but especially recommend the fritto misto, rigatoni, and banana bread pudding.
    More info
    Sociale - San FranciscoPrice: Expensive• Italian• Presidio Heights
    •
    4.8

Discover best Italian restaurants in Presidio Heights

Discover the essence of Italian cuisine in the heart of San Francisco's Presidio Heights, where a selection of restaurants brings the authentic flavors of Italy to the Bay Area. In this charming neighborhood, diners can indulge in a variety of Italian dishes, from traditional pasta and risotto to innovative culinary creations, all prepared with fresh, high-quality ingredients. Each restaurant in Presidio Heights offers a unique dining experience, characterized by intimate settings and personalized service, making each meal a special occasion. The dining scene in Presidio Heights is vibrant and diverse, with Italian eateries that cater to both casual diners and gourmet aficionados. These establishments are renowned for their extensive wine lists, featuring both Italian classics and local favorites, enhancing the dining experience with the perfect pairing. Whether you're seeking a romantic dinner spot or a cozy place for a family meal, the Italian restaurants in Presidio Heights promise an unforgettable culinary journey. Embrace the warmth and hospitality of Italy right here in San Francisco, where every meal is served with a touch of tradition and a dash of innovation.

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