Diners' Choice: Italian restaurants in South Carolina

OpenTable

Updated March 05, 2025

Looking for restaurants with the best overall Italian cuisine in South Carolina? You’re in the right place. Each month OpenTable analyzes more than 400,000 new diner reviews. We sort the results by category to help you discover new favorites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!

Little Italy - Myrtle Beach

4.9

4.9 (123)

$30 and under

Italian

Myrtle Beach

About the restaurant

Welcome to Little Italy, one of the best Italian restaurants in Myrtle Beach, where a true classic Italian dining experience and southern hospitality meet. We firmly believe that nothing brings people together better than good food. And good food is what we do best.

Top review

James

Dined 4 days ago

Good food, attentive service at a reasonable price

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Pomodori - Hilton Head

4.9

4.9 (1926)

$31 to $50

Italian

Hilton Head Island

About the restaurant

Due to the intimacy of our Restaurant and to guarantee your dining experience reservations are almost always required all year long.

Please be mindful when booking reservations. If you select "OUTDOOR SEATING" you WILL be dining on our screened in patio. If you select "STANDARD SEATING" you will be at a table inside in one of our dining rooms. Same day changes may not be possible. Requests for bar seating can only be made by calling the restaurant - not through reserving times on Open Table. For same day reservations please call the restaurant after 3:00 for the most up to date availability!

Our Food is Fresh, Our Wines are Old, Our Recipes are Timeless, Our Family is Yours.

Grazie,
Amanda

Top review

Pamliv

Dined 1 day ago

Pomodori is consistently great. Service wonderful and food delicious. My husband and I shared the Arancini appetizer followed by Short rib Ragu and the Bolognese. Our waitstaff too great care of us and will always go back for another great meal.

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Popular dish

CANNOLI

Popular dish

Tagliatelle con Bolognese

Popular dish

Arancini

Casa Calamari

4.9

4.9 (26)

$30 and under

Italian

Surfside Beach

About the restaurant

An amazing Italian-American eatery, Casa Calamari is one of the best Italian spots in Surfside Beach, SC. Always ready to treat our guests, Casa Calamari is a must-try restaurant in the Horry County area.
We offer a number of gourmet pizzas, excellent calzones & strombolis, and the authentic flavor bomb that is our pasta. There are so many great Italian choices with us and they're all worth a try. You'll definitely want to come back and have a little bit of everything!
For the healthy eaters out there - a selection of top-notch salads and excellent seafood dishes that are light and filling is always available. We also serve tasty sandwiches and rich main courses for the hungriest! The dessert section is a mix of Italian and classic American favorites that soothe the soul.

Top review

Paula

Dined 7 days ago

Excellent service and the food was delicious. Looks like they’ve done some renovations with their seating which really made our table feel very private. We will definitely be back.

Ristorante Bergamo

4.9

4.9 (626)

$50 and over

Italian

Greenville

About the restaurant

Fine Northern Italian dining with an experienced NYC Chef

Top review

MarybethCVIP

Dined 6 days ago

Our server was GREAT! Our food was delicious! And the ambiance…..so lovely!!!

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Popular dish

Linguine with shrimp

The Market Cafe at Michael Anthony's

4.9

4.9 (1534)

$31 to $50

Italian

Hilton Head Island

About the restaurant

Michael Anthony’s Market Cafe, the sister restaurant to Michael Anthony’s Cucina Italiana, features casual, trattoria-style dining for lunch and dinner plus an Italian specialty shop. Located just across the breezeway from Michael Anthony’s, we cater to almost all of your culinary desires.
Here we showcase a menu of lighter fare including sandwiches, salads, pasta, pizza and smaller portions of our chefs’ acclaimed meat and seafood dishes. We also have Italian coffees and a full bar. "Hilton Head Monthly" readers have voted us their “Favorite New Restaurant” and “Favorite Lunch Place.”
Join us for Happy Hour (4:30pm-5:30pm), when we offer specially-priced cocktails, wine and perfectly-sized snack plates.
Or stop in and browse our carefully-curated specialty foods. They include cheeses, fresh meats, house-made pastas, olive oil, tomato products, heat-and-serve entrees and homemade desserts.
Please visit our website or call for dining reservations.

Top review

PaulaVIP

Dined 2 days ago

As always, service and food was wonderful. Jen is an amazing server.

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4.7

4.7 (307)

$30 and under

Italian

Taylors

About the restaurant

Spaghetti Westurn is a classic semolina saloon that provides a playful and peculiar twist on homemade pasta. We like to eat. We like to drink. We like sharing what we eat and drink with our friends and loved ones.

Spaghetti Westurn was founded in 2021 in the city of Greenville, S.C.. The concept is the brainchild of Chef and Owner Jason Saunders, formerly of Jianna in Greenville and Wicked Weed Brewing and Table in Asheville, to name a few of the spots where he made his mark. Chef Saunders decided to open his own concept in 2020.

Spaghetti Westurn was conceived of as an eatery and oasis that prizes the beauty of quality, culinary simplicity and generous depths of service in an environment that is comfortable and welcoming for guests and employees alike. We pride ourselves on providing a great place for people to eat and a great place for people to work.

Top review

RacquelVIP

Dined 3 days ago

Truly the best food ever. Each dish has so much flavor! This place is a foodie favorite!

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4.7

4.7 (825)

$31 to $50

Italian

Pawleys Island

About the restaurant

Escape to Italy when visiting Caffe Piccolo. This authentic Italian eatery specializes in hearty, flavorful fare, featuring the freshest ingredients on the Grand Strand. Caffe Piccolo sources seafood locally, as well as produce and homegrown herbs, working with regional and ethical vendors. The menu is packed with delectable dishes, including appetizers, soups, salads and flavorful entrees. Entrees include land and sea choices, plus pasta dishes. Entrees include bread and your choice of soup or salad.

Caffe Piccolo features a comprehensive wine list, featuring imported and domestic selections. Dine indoors or outdoors on a beautiful patio, alongside a warm, open hearth.

Top review

Vincent MVIP

Dined 4 days ago

Great food great service what else can I say. While waiting at the bar for our guest to come the bartender Rebecca was outstanding friendly professional great drinks then to our table and the everything was just as outstanding 😎👍

Luigi's Trattoria

4.8

4.8 (2548)

$30 and under

Italian

Myrtle Beach

About the restaurant

Luigi’s Trattoria welcomes you to visit us.. We are a family-owned restaurant known for great food, great staff, beautiful decor, and so much more.

Top review

Mary

Dined 6 days ago

The waiter for our table was delightful and attentive this time and the many times we were lucky to have her as our server in the past. Food was good and all six of us had a lovely dining experience.

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Popular dish

Veal Parmigiana

Popular dish

Sausage Stuffed Ravioli

Gios Italian Kitchen - Pawleys Island

4.8

4.8 (230)

$30 and under

Italian

Pawleys Island

About the restaurant

Prepare to be thrilled at this all-star Italian restaurant located off Ocean Highway in Pawleys Island, SC. Gios Italian Kitchen is family owned and operated since August 7th, 2014. Brothers/Chefs Klodjan & Renato Hoxha run the kitchen while the sister/GM Eri handles the front. Parents are also involved in the business operation on a daily basis. The Hoxha family was born in Albania and moved to the United States in 2003, seeking the American dream. The family has 17 years of experience in cooking. Our chefs make all the dishes with the freshest ingredients and highest quality of product. Gios serves the best marinara sauce and some of the tastiest authentic Italian dishes in the Grand Strand. We pride ourselves in providing quality consistent good food while emphasizing in excellent guest service. Eat Fresh. Eat Well. Eat Local.

Top review

GinnyP

Dined on Mar 3, 2025

The nightly special Mediterranean Grouper was fabulous!!

Costa Coastal Kitchen & Bar

4.8

4.8 (688)

$30 and under

Italian

Murrells Inlet

About the restaurant

Coming Soon!