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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
4.8
Exceptional(7099)
Price: Expensive
• Italian • The Hill
Booked 38 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
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
4.9
Exceptional(2735)
Price: Expensive
• Italian • Maplewood
Booked 14 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
4.8
Exceptional(544)
Price: Moderate
• Italian • Webster Groves
Booked 21 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
4.8
Exceptional(2247)
Price: Moderate
• Italian • Clayton
Booked 15 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
4.5
Awesome(384)
Price: Expensive
• Italian • Webster Groves
Booked 24 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
4.7
Exceptional(2286)
Price: Moderate
• Italian • The Hill
Booked 27 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
4.9
Exceptional(2550)
Price: Very Expensive
• Italian • Clayton
Booked 14 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 Eleven Eleven Mississippi restaurant
4.7
Exceptional(4536)
Price: Moderate
• Italian • St. Louis
Booked 15 times today
Nestled in the historic Lafayette Square of St. Louis, Eleven Eleven Mississippi is a gem that expertly marries American culinary craftsmanship with a touch of European flair, creating a dining experience that is both unique and deeply rooted in American tradition. Patrons rave about the "delicious and innovative food" and the "impeccable service," highlighting the restaurant's ability to consistently deliver a top-tier dining experience. The use of an oak-fired brick oven and a cozy, inviting atmosphere featuring natural elements like hardwoods and copper, adds to its charm. Reviewers consistently celebrate the "phenomenal" food and the attentive staff, making it clear why Eleven Eleven Mississippi is a beloved destination for both locals and visitors. Whether it's the wild boar ravioli or the perfectly cooked sea bass, each dish is a testament to the high-quality, authentic American cuisine served here.
A photo of Edera Italian Eatery restaurant
4.6
Exceptional(62)
Price: Expensive
• Italian • Central West End
Booked 22 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.
‘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
  • Megan
    San Francisco Bay Area •4 reviews
    5.0
    Dined 1 day ago
    I enjoy dining @ O & O! The service is excellent and the food is delicious. I like the pasta with the lobster and the salad is very fresh. Thank you Carl for your great service tonight! I missed seeing Victoria! You are very kind and thoughtful! Megan
    More info
    O+O PizzaPrice: Moderate• Pizzeria• Webster Groves
    4.8
  • NinaVIP
    St. Louis •9 reviews
    5.0
    Dined 1 day ago
    Our server, Sebastian, was attentive and knowledgeable, giving us helpful details about our selections.
    More info
    Casa Don Alfonso - The Ritz-Carlton St. LouisPrice: Very Expensive• Mediterranean• Clayton
    4.3
  • Neal
    Chicago / Illinois •5 reviews
    5.0
    Dined 2 days ago
    Another perfect evening. For the appetizer, we went with the Arancini. Light and delicious. The salads were great. House made croutons and dressing were delicious. For entrees, we enjoyed the Veal Parmigiana and Chicken Marsala. Each couldn’t have been better. Full of flavor, perfect portion size. I want to highlight the Gnocchi with the cheese sauce I had on the side. This was heavenly…light but bursting with flavor. Wouldn’t change a thing. 10/10!
    More info
    Charlie Gitto's 'On the Hill'Price: Expensive• Italian• The Hill
    4.8
  • Patty
    Minneapolis - St. Paul •5 reviews
    5.0
    Dined 4 days ago
    Justin was awesome giving us time to figure out our order with my 90 year old mom. She thoroughly enjoyed the experience which has not happened in awhile. Happy Holidays!
    More info
    Café NapoliPrice: Moderate• Italian• Clayton
    4.8
  • Travis
    Virginia •1 review
    5.0
    Dined 5 days ago
    Acero made for a perfect anniversary dinner for a couple from out of town. They offered us complimentary sparkling wine and even had our menus printed with a congratulations. Everything was fantastic but the egg raviolo is not to be missed. Our waiter Simon made it a wonderful experience.
    More info
    AceroPrice: Expensive• Italian• Maplewood
    4.9
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