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Best Italian Restaurants in St. Louis Hills

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28 restaurants available nearby

A photo of Charlie Gitto's 'On the Hill' restaurant
1. Charlie Gitto's 'On the Hill'
4.8
Exceptional(7101)
Price: Expensive
• Italian • The Hill
Booked 49 times today
At Charlie Gitto's 'On the Hill' in St. Louis, the essence of authentic Italian cuisine comes to life amidst the charming ambiance of The Hill neighborhood. Renowned for its exquisite Italian fare, diners rave about dishes like the "lobster spaghetti" and "homemade spicy seafood pasta," highlighting the meticulous preparation and fresh ingredients. The service is equally lauded, with patrons noting the attentiveness and expertise of the staff, ensuring a memorable dining experience. Reviews consistently mention the "outstanding service and atmosphere" and the delightful "toasted ravioli," a must-try. Charlie Gitto's stands out as a gem for fine Italian dining, a place where every meal is both a tradition and a celebration. Whether it’s the "best Italian on the hill" or the perfect spot for a special occasion, loyal customers and newcomers alike leave with plans to return.
A photo of Casa Don Alfonso - The Ritz-Carlton St. Louis restaurant
2. Casa Don Alfonso - The Ritz-Carlton St. Louis
4.3
Awesome(1286)
Price: Very Expensive
• Italian • Clayton
Booked 49 times today
At Casa Don Alfonso in the heart of Clayton, St. Louis, guests are treated to an authentic slice of the Mediterranean with every dish. Awarded the *2024 Wine Spectator Best of Award of Excellence*, this establishment boasts a menu that reflects the rich culinary heritage of the Sorrento Coast. According to a glowing review, it offers "the best meal I've ever eaten, including many in France & Italy.” Each recipe, whether it's the handcrafted pastas or the whimsical desserts, tells the story of the Iaccarino family's traditions, bringing the magic of southern Italy to Missouri. With ingredients sourced to mirror the quality of the Iaccarino family’s farm, Casa Don Alfonso stands out for its commitment to authentic Mediterranean flavors and exceptional hospitality.
A photo of Acero restaurant
3. Acero
4.9
Exceptional(2735)
Price: Expensive
• Italian • Maplewood
Booked 16 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 O+O Pizza restaurant
4. O+O Pizza
4.8
Exceptional(545)
Price: Moderate
• Italian • Webster Groves
Booked 12 times today
O+O Pizza in Webster Groves is an Italian-inspired gem where the authenticity and quality of the Pizzeria cuisine shine brightly. Patrons rave about the experience, with one guest exclaiming that the OG Pepperoni pizza is "phenomenal!" and another lauding the "fabulous" meatball pizza with vodka sauce. The restaurant’s commitment to fresh, sophisticated yet simple dishes makes every visit memorable. Many reviews highlight the exceptional service and welcoming atmosphere, making it a neighborhood favorite. Whether it's the innovative street corn gnocchi or the classic eggplant parmigiana, O+O Pizza consistently delivers a craveable and unique dining experience that keeps guests returning for more.
A photo of Café Napoli restaurant
5. Café Napoli
4.8
Exceptional(2250)
Price: Moderate
• Italian • Clayton
Booked 18 times today
Café Napoli, nestled in the vibrant heart of Clayton, consistently exceeds expectations with its exquisite and authentic culinary offerings. This beloved family-owned gem, established in 1989, has become a cornerstone of the local dining scene. Patrons rave about the "unbelievable food" and "impeccable service," highlighting dishes like the "perfect shrimp scampi" and the "delicious caprese." The restaurant’s atmosphere adds to its charm, described as "comfortable and cozy" with options for alfresco dining that make every meal feel special. It's no surprise that Café Napoli is frequently hailed as the "BEST Italian restaurant in St. Louis," making it a must-visit for anyone seeking a top-tier dining experience. Whether it's the live music, the innovative dishes from Executive Chef Jon Berger, or the warm family management, Café Napoli promises and delivers an unforgettable culinary journey.
A photo of Madrina restaurant
6. Madrina
4.5
Awesome(384)
Price: Expensive
• Italian • Webster Groves
Booked 33 times today
Madrina, nestled in the charming heart of Old Webster Groves, is a beacon of Italian culinary excellence. Patrons are raving about their authentic Italian offerings, with one guest exclaiming, "The Carbonara was excellent, the best I had in St. Louis" and another recommending the "delicious" chef’s tasting menu. The vibrant atmosphere, coupled with a meticulously curated wine list, enhances the dining experience, making every meal feel like a special occasion. The expertly trained staff, including a knowledgeable sommelier, ensures that each visit is memorable, promising personalized service and expertly paired wines. Whether it's the romantic ambiance or the "incredible food options," Madrina delivers an Italian dining experience that is both authentic and unforgettable.
A photo of Lorenzo's Trattoria restaurant
7. Lorenzo's Trattoria
4.7
Exceptional(2288)
Price: Moderate
• Italian • The Hill
Booked 18 times today
Lorenzo's Trattoria, nestled in the vibrant neighborhood of The Hill in St. Louis, is a beacon of contemporary Italian cuisine. The restaurant is lauded for its innovative approach to Northern Italian fare, blending classic dishes with modern twists. Guests rave about the "authentic house-made gnocchi" and the "outstanding" braised Ossobuco, highlighting the quality and creativity of the menu. Reviews consistently praise the "excellent service" and the "fabulous Veal Picatta," making Lorenzo's a preferred destination. A reviewer enthusiastically notes, "By far the best Italian restaurant in St. Louis!!!" With its classy yet laid-back atmosphere, Lorenzo's Trattoria is perfect for any dining occasion, offering an exceptional gastronomic experience that keeps patrons returning for more.
A photo of The Crossing restaurant
8. The Crossing
4.9
Exceptional(2550)
Price: Very Expensive
• Italian • Clayton
Booked 18 times today
At The Crossing in Clayton, the essence of French cuisine is celebrated with a local twist, creating a dining experience that's both authentic and innovative. Praised as "one of the best restaurants in St. Louis," The Crossing is renowned for its meticulous attention to quality and its farm-to-table approach. Diners rave about the "exceptional service and attention to all of the details," with dishes that are "always outstanding" and crafted from fresh, organic ingredients. Whether it's the "divine" morel pasta or the perfectly paired wine selections, each meal is a testament to the chefs' passion and skill. As one satisfied customer put it, "The food was prepared to perfection. It’s a bit pricey, but we had a great evening." This glowing endorsement of The Crossing's commitment to French culinary excellence makes it a must-visit for anyone seeking a truly remarkable meal.
A photo of Edera Italian Eatery restaurant
9. Edera Italian Eatery
4.6
Exceptional(64)
Price: Expensive
• Italian • Central West End
Booked 28 times today
Edera Italian Eatery in the vibrant Central West End of St. Louis delivers an exceptional Contemporary Italian dining experience, blending traditional charm with modern culinary innovation. Chef Andrew Simon's fresh interpretation of Italian classics, using top-quality ingredients sourced from Italy to Missouri, ensures every dish from the Neapolitan pizzas to the signature pastas is a masterpiece. The ambiance, described by patrons as akin to a European patio, enhances the dining experience with its Italian-style courtyard and newly renovated dining room. Glowing reviews consistently highlight the "amazing flavors" and "excellent service," with one guest recommending, "Ask for bread! It’s super tasty." Edera stands out not just for its food but for creating memorable moments, whether it's a cozy dinner in a chalet or a festive outdoor meal.
A photo of Guido's Pizza and Tapas restaurant
10. Guido's Pizza and Tapas
4.7
Exceptional(660)
Price: Moderate
• Italian • The Hill
Booked 13 times today
At Guido's Pizza and Tapas on The Hill in Saint Louis, diners are treated to an authentic "Taste of Spain in The Middle of Italy." This family-owned gem stands out for its dedication to Spanish culinary traditions, offering a delightful array of tapas and handcrafted Sangria that transport taste buds straight to Spain. Patrons rave about the "amazing" tapas selection, highlighting favorites like the lamb lollipops and bacon-wrapped dates, which are described as "delightful" and "heavenly." The ambiance of Guido’s, combined with its friendly service, makes it a top destination for those seeking a genuine Spanish dining experience. Whether you’re local or visiting, Guido's promises a meal that’s not just eaten, but savored.
‘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.

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