14 italian places in St. Louis we have eaten in, sorted by editor score. All cuisines in St. Louis | Italian across every city.
Italian cooking is the bedrock of St. Louis dining, centered on The Hill, the historic Italian-American neighborhood. Charlie Gitto's On The Hill is tied to the toasted-ravioli origin story and plates red-sauce classics, while the family-run Zia's On The Hill is the everyday table locals lean on. Gerard Craft's Pastaria in Clayton is the most reliable Italian room off The Hill.
Pastaria ★ 4.4
clayton · 7734 Forsyth Blvd, Clayton, MO 63105
James Beard winner Gerard Craft's Clayton Italian runs on handmade pasta and wood-fired pizza in a busy room. The most reliable Italian table off The Hill.
Acero ★ 4.3
maplewood · 7266 Manchester Rd, Maplewood, MO 63143
Acero plates handmade pasta and a deep, off-the-beaten-path Italian wine list in Maplewood. It is the quiet, grown-up Italian dinner locals favour.
Charlie Gitto's On The Hill ★ 4.1
the-hill · 5226 Shaw Ave, St. Louis, MO 63110
A Hill institution tied to the toasted-ravioli origin story, Charlie Gitto's plates red-sauce Italian classics in a clubby room. The t-ravs draw first-timers.
Zia's On The Hill ★ 4.1
the-hill · 5256 Wilson Ave, St. Louis, MO 63110
A family-run Hill room going since 1985, Zia's plates generous Italian-American spiedini and pasta. The everyday Hill table locals lean on over the big names.
Gian-Tony's Ristorante ★ 4.0
the-hill · 5356 Daggett Ave, St. Louis, MO 63110
Open on The Hill since 1989, Gian-Tony's serves Southern Italian veal, chicken and seafood from a chef-owner who still runs the kitchen most nights.
STL Toasted ★ 3.9
the-hill · 2201 Macklind Ave, St. Louis, MO 63110
STL Toasted took over the old Mama Toscano's space on The Hill and built a counter entirely around toasted ravioli, the breaded-and-fried dish born here.
Adriana's On The Hill ★ 4.2
the-hill · 5101 Shaw Ave, St. Louis, MO 63110
Mama Adriana Fazio opened this Shaw Avenue sandwich shop over 30 years ago, and her daughters still run it. The foot-long subs are a Hill lunch institution.
Anthonino's Taverna ★ 4.2
the-hill · 2225 Macklind Ave, St. Louis, MO 63110
A family taverna on The Hill, Anthonino's blends Italian and Greek cooking, from toasted ravioli to spanakopita, a casual room popular with families.
Katie's Pizza & Pasta Osteria ★ 4.2
rock-hill · 9568 Manchester Rd, St. Louis, MO 63119
Katie Collier's Rock Hill osteria fires blistered pizzas and plates house-made pasta in a buzzy room, a polished casual Italian with several metro branches.
Gioia's Deli ★ 4.5
the-hill · 1934 Macklind Ave, St. Louis, MO 63110
A James Beard America's Classics winner on The Hill, Gioia's slices its house Hot Salami onto fresh-baked bread, a sandwich St. Louis treats as a rite.
Pastaria ★ 4.4
7734 Forsyth Blvd, Clayton, MO 63105
Gerard Craft's flagship Italian room in Clayton plates hand-rolled pastas and wood-fired pizzas across a long, ingredient-driven menu in a lively dining room.
Edera Italian Eatery ★ 4.2
48 Maryland Plz, St. Louis, MO 63108
Edera plates modern Italian and house-made pasta on Maryland Plaza, a polished contemporary counterpoint to the red-sauce rooms of The Hill. A grown-up room.
Madrina ★ 4.3
101 W Lockwood Ave, Webster Groves, MO 63119
Chef Tim Adams's mid-century Italian-American room in Old Webster Groves pairs handmade pastas with a wine list run by sommelier Alisha Blackwell-Calvert.
STL Toasted ★ 3.9
the-hill · 2201 Macklind Ave, St. Louis, MO 63110
STL Toasted is in the old mama toscano's space with weekend-only hours, stl toasted is a single-minded toasted-ravioli counter most visitors never time right.