At 10Best, we're always on the lookout for St. Louis's best restaurants, and while we appreciate places that have a broad culinary range, we can't help but adore restaurants that specialize in a given cuisine. When we're in the mood for Italian food in St. Louis, we head to Trattoria Marcella - a reader favorite - or we count on Cunetto House of Pasta's solid track record and consistently great dishes. You'll find these places - and any of the restaurants on our list - to be fantastic options for Italian cuisine, and if you're looking to concentrate your efforts, start with the vibrant The Hill area.



The extensive menu features 33 gourmet pasta dishes, including Cannelloni Bianco (rolled pasta stuffed with veal, chicken, and beef and served in a mushroom sauce) and Spaghettini alla Genovese (pasta and pesto). For the health conscious,...  Read More

Vito's Sicilian Pizzeria and Ristorante
Photo courtesy of Vito's Sicilian Pizzeria and Ristorante


If you're in the mood for Italian but want to avoid the glut of restaurants on The Hill, try this wallet-friendly Midtown spot. A comfortable, wood-floored interior welcomes customers who clamor for Vito's delicious, hand-tossed pizzas. Created...  Read More



With warmly painted walls and white tablecloths, this intimate setting is very inviting. Start with the incredible fritto misto, made with calamari and spinach and served with shredded Parmesan and a lemon wedge. Enjoy the potato ravioli with...  Read More

Central West End
Bar Italia


The bright decor, offset by the industrial setting, is the perfect scene for the wildly imaginative menu featured at this dynamic restaurant. Calamari salad is made with garbanzo beans and diced beans tossed with a lemon and oil dressing....  Read More

LoRusso's Cucina


Achieving that rare, successful balance between elegance and comfort, LoRusso's attracts couples looking for a romantic night out and families who come to enjoy the spacious dining area. Authentic, flavorful entrees from the cucina are inspired...  Read More



This classy restaurant features chandeliers, soft-toned walls, and waiters in black-tie. The classic menu begins with calamari sautéed with onion and garlic. Entrees include grilled swordfish in a sauce with roasted vegetables, bow-tie pasta...  Read More

Charlie Gitto's


This elegant, old world-style restaurant features dark woods, a fountain, and a comfortable ambience. Risotto makes as fine an appetizer as it does an entree. Start with the creamy seafood risotto made with salmon, shrimp, and scallops. Follow...  Read More

Dominic's on the Hill


With its beautiful chandeliers and fine paintings, this elegant restaurant is the city's standard-bearer in Italian gourmet cuisine. Dine on shrimp vino blanco (plump shrimp cooked in white wine, garlic and lemon sauce and served with a peppery...  Read More



This authentic gourmet Italian restaurant has been a St. Louis staple since the 1920's. Small dining areas arranged within the larger space create an intimate old world atmosphere. Start with the signature fried artichokes and move on to filet...  Read More