The Best Italian Restaurants in San Francisco
Updated September 2026 · 65 places tracked
San Francisco has 65 Italian restaurants on WaitlistWizard's live reservation catalog, clustered in North Beach, Lower Pacific Heights, and San Francisco. The list below ranks the standouts by diner rating, and we track real-time table availability at 20 of them.
Amarena
Italian · San Francisco · $$$
4.8(1,867)Frascati
Italian · San Francisco · $$$
4.7(426)Barberio Osteria
Italian · The Mission · $$
4.7(160)Bella Trattoria
Italian · San Francisco · $$
4.6(1,074)Belotti Ristorante e Bottega
Italian · Rockridge · $$
4.6(1,015)Trattoria Contadina
Italian · North Beach · $$
4.6(961)Firenze by Night
Italian · North Beach · $$
4.6(682)Acquerello
Italian · San Francisco · $$$$
4.6(658)Pearl 6101
Italian · Richmond District · $$
4.6(655)Bar Sprezzatura
Italian · San Francisco · $$
4.6(427)AltoVino
Italian · Nob Hill · $$
4.6(423)Original Joe's - San Francisco
Italian · San Francisco · $$
4.5(3,509)- Hard to get
Flour + Water
Italian · Mission Gulch · $$
4.5(1,905) Piccino
Italian · Dogpatch · $$
4.5(1,396)
Emmy's Spaghetti Shack
Italian · San Francisco · $$
4.5(914)
Cafe Zoetrope
Italian · San Francisco · $$
4.5(779)Napizza
Italian · Marina District · $
4.5(688)Poesia Osteria Italiana
Italian · San Francisco · $
4.5(622)Lucia's Berkeley
Italian · Downtown Berkeley · $$
4.5(487)Penny Roma
Italian · Mission District · $$
4.4(897)
Cafe Tiramisu
Italian · San Francisco · $$
4.4(693)Ristorante Tiramisu
Italian · San Francisco · $$$
4.4(693)Fiorella Sunset
Italian · San Francisco · $$
4.4(487)
Delfina Restaurant
Italian · San Francisco · $$
4.4(392)
Never miss a table in San Francisco
WaitlistWizard tracks reservation availability at the hardest-to-book restaurants in real time. Set a watch on a sold-out table and get alerted the moment a spot opens up.
Frequently asked questions
- What are the best Italian restaurants in San Francisco?
- Ranked by diner ratings across the 65 Italian restaurants in our San Francisco catalog, the top picks are Amarena, Frascati, and Barberio Osteria.
- Which San Francisco neighborhoods are best for Italian restaurants?
- North Beach, Lower Pacific Heights, and San Francisco have the highest concentration of Italian restaurants in our San Francisco catalog.
- How do I get a table at a fully booked restaurant in San Francisco?
- WaitlistWizard monitors live reservation availability at 20 of these restaurants. Set a free watch on a sold-out table and you'll get an alert the moment a reservation opens up.