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Best Italian Restaurants in Pacific Heights

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A photo of The Tailor's Son restaurant
1. The Tailor's Son
4.6
Exceptional(239)
Price: Expensive
• Italian • Pacific Heights
Booked 63 times today
The Tailor's Son shines as a beacon of exceptional Cocktail Bar cuisine in the heart of Pacific Heights, San Francisco. Known for its inventive and "creative & unique cocktails," the bar offers an extraordinary range of flavors that complement its Northern Italian menu perfectly. Diners rave about the "seasonal tequila carrot turmeric cocktail" that "blew my mind," showcasing the bar's commitment to originality and quality. With a "warm and professional" service that enhances the lively atmosphere, The Tailor's Son is not just a place to dine but a vibrant experience that leaves guests eager to return for more delicious cocktails and unforgettable moments.
A photo of Florio restaurant
2. Florio
4.7
Exceptional(1769)
Price: Moderate
• Italian • Pacific Heights
Booked 19 times today
Florio in Pacific Heights, San Francisco, is a beacon of authentic Italian cuisine, making it a must-visit for Italian food enthusiasts. The restaurant’s dedication to using local, seasonal, and organic ingredients shines through in their house-made seasonal pasta and comforting Italian favorites like Veal, Pork & Ricotta meatballs. "Florio always delivers," rave patrons, who are consistently impressed by the "excellent food and service" and the warm, sophisticated ambience that strikes the perfect balance between casual and elegant. With a well-curated wine list featuring Italian specialties, Florio offers a true taste of Italy right in your neighborhood.
A photo of Pizzeria Delfina - Pacific Heights restaurant
3. Pizzeria Delfina - Pacific Heights
4.7
Exceptional(122)
Price: Moderate
• Italian • Pacific Heights
Booked 25 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
4.7
Exceptional(1284)
Price: Expensive
• Italian • Pacific Heights
Booked 9 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(1946)
Price: Expensive
• Italian • North Panhandle / USF
Booked 70 times today
Che Fico San Francisco offers an extraordinary Californian culinary experience, seamlessly blending Italian roots with local ingredients. Located in the vibrant NOPA neighborhood, this restaurant is a "beloved San Francisco institution" praised for its inventive and delicious menu. Diners rave about its "outstanding food," highlighting handmade pasta, pizzas, and unique dishes from Jewish-Roman heritage. The lively atmosphere and "warm hospitality" make it a perfect spot for gatherings. With a beverage program featuring both Italian and Californian wines, Che Fico captures the essence of Californian cuisine through its market-driven, rustic approach. This is the place for an unforgettable dining experience!
A photo of Original Joe's - San Francisco restaurant
6. Original Joe's - San Francisco
4.7
Exceptional(4276)
Price: Moderate
• Italian • North Beach
Booked 100 times today
Original Joe's in North Beach, San Francisco, is a beacon of authentic American cuisine blended with rich Italian-American flavors. As a culinary institution for over 80 years, Original Joe’s offers a unique dining experience with its signature red leather booths and legendary smooth cocktails. Reviewers rave about its "fantastic drinks" and "great food," highlighting dishes like the Veal Marsala and house-made ravioli. The ambiance is described as "festive and friendly," making it perfect for any occasion. Whether you're a local or a tourist, Original Joe's promises a classic American experience that "never disappoints," truly making it a San Francisco landmark.
A photo of Little Original Joe's -- Marina restaurant
7. Little Original Joe's -- Marina
4.8
Exceptional(71)
Price: Moderate
• Italian • Marina / Cow Hollow / Presidio
Booked 20 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(5053)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 59 times today
A16, nestled in San Francisco's vibrant Marina district, offers an exceptional Californian dining experience that seamlessly marries authentic Italian flavors with locally sourced ingredients. This Michelin-rated gem, known for its "superlative food," consistently delights diners with its wood-fired Neapolitan pizzas and exquisite pasta dishes. Executive Chef Yosuke Machida's dedication to quality shines through every dish, making each meal a memorable culinary journey. Guests rave about the "wonderful time" they have here, praising the "exceptional" food quality and "friendly and professional" staff. A16's commitment to excellence and its welcoming atmosphere make it a must-visit destination for lovers of Californian cuisine.
A photo of Seven Hills restaurant
9. Seven Hills
4.9
Exceptional(2481)
Price: Expensive
• Italian • Russian Hill
Booked 37 times today
Seven Hills, nestled in the charming Russian Hill neighborhood of San Francisco, is a hidden gem for seafood enthusiasts. This cozy bistro delights diners with its perfectly crafted seafood dishes, such as the "special squid ink linguine with tender calamari" that has left patrons raving about its unique flavor and freshness. Known for its genuine Italian charm, the restaurant consistently delivers "outstanding food and service," creating a memorable dining experience. With a menu that highlights the finest seafood, complemented by a thoughtfully curated wine list, Seven Hills promises an authentic taste of the ocean, making it a must-visit for seafood lovers.
A photo of Terzo restaurant
10. Terzo
4.8
Exceptional(2126)
Price: Expensive
• Italian • Marina / Cow Hollow / Presidio
Booked 19 times today
Terzo in San Francisco is a standout gem for Tapas and Small Plates cuisine, offering an authentic Mediterranean experience that is both delightful and memorable. Nestled in the vibrant Cow Hollow neighborhood, Terzo consistently impresses with its "well-rounded, exceptionally executed menu" and "delicious, seasonal small plates." Guests rave about the "amazing and flavorful" dishes such as the hummus, crispy onions, and patatas bravas, which are perfectly complemented by a "reasonably priced wine list." The inviting ambiance and "top-notch" service create a warm, cozy atmosphere, making it an ideal spot for any occasion. With "friendly and accommodating" staff, Terzo is truly a must-visit destination for tapas enthusiasts.

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See what locals rave about

From verified diners like you
From verified diners like you
  • Alexis
    San Francisco Bay Area •1 review
    4.0
    Dined today
    Service was professional and staff was friendly including the cooks. I ordered the red snapper in spicy tomato sauce which was fresh and tender and also a generous portion. However. I would’ve preferred a smaller portion with 2 different sides to choose from. My husband ordered the tortellini and it was delicious. It was baked in the oven and the plate was hot. It was a great neighborhood dining experience. Will go back.
    More info
    Jackson Fillmore TrattoriaPrice: Expensive• Italian• Pacific Heights
    •
    4.7
  • OpenTable Diner
    Tahoe / Reno Area •1 review
    5.0
    Dined 3 days ago
    Was amazing as usual! We have been many times and the food is delicious, wine is cold and the service fantastic!
    More info
    The Tailor's SonPrice: Expensive• Italian• Pacific Heights
    •
    4.6
  • PeggyVIP
    San Francisco Bay Area •14 reviews
    5.0
    Dined 4 days ago
    One of our party has numerous allergies. Our server went out of her way to help her find healthy choices for the guest, including checking with the kitchen to confirm that two pastas were suitable. A wonderful experience, delicious dishes!
    More info
    Che Fico San FranciscoPrice: Expensive• Italian• North Panhandle / USF
    •
    4.7
  • KatherineVIP
    San Francisco Bay Area •94 reviews
    5.0
    Dined 5 days ago
    Florio is a fabulous neighborhood restaurant. Great food,great service, and atmosphere that doesn’t stop, all in a very nice, casual setting. Felipe was a wonderful waiter, and the bartender knows how to make the perfect drink. You cannot go wrong here. You will drink well, dine well, and end up having conversations that bring you into the fold of the neighborhood. Really, we keep going back again and again.
    More info
    FlorioPrice: Moderate• French• Pacific Heights
    •
    4.7
  • JanetVIP
    San Francisco Bay Area •54 reviews
    5.0
    Dined on 5 Feb 2025
    Not just for pizza! The eggplant parm was excellent, as was the Pomodoro pasta...fresh & well sauced. 1 meatball for 3 of us to taste and it was good, too!
    More info
    Pizzeria Delfina - Pacific HeightsPrice: Moderate• Italian• Pacific Heights
    •
    4.7

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.

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