2020 Best Italian Restaurants in St. Louis Area

Authentic Italian Food in St. Louis

Whether you're craving a simple plate of spaghetti and meatballs, or an osso buco that melts in your mouth, here are GAYOT's choices for the Top Restaurants for Italian Cuisine in St. Louis , presented in alphabetical order. Mangia!

> Also, check out Top Italian Restaurants in other cities.

> Learn the Italian food terms that will help you decipher any menu.
 
Acero
14/20
Authentic Italian (made from Missouri ingredients) in Maplewood. See More

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Al's Restaurant
14/20
A downtown steakhouse that's deeply rooted in tradition. See More

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Bar Italia Ristorante
12/20
Non-clichéd Italian in the always-happening Central West End. See More

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14/20
Strong Italian menu, reliable seafood and plenty of athletes and politicians can be found at Café Napoli. See More

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13/20
In the heart of an old Italian neighborhood, the Gitto family continues its food legacy into a third decade. See More

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Dominic's Restaurant
13/20
Veteran host Dominic Galati leads diners to some of the city's best veal --- and a highly underrated group of pastas. See More
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Gian-Tony's
13/20
This Hill standby with a strong Sicilian influence offers real home-style cooking. See More
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13/20
Family-run Paul Manno’s does Italian classics right. See More
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13/20
Settle in for an Italian feast at one of The Loop’s higher-end destination restaurants. See More

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Trattoria Marcella
15/20
Italian “comfort food” influenced by current trends in Italy and transplanted in South City. See More

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Best Thanksgiving Wines
Best Thanksgiving Wines
Check out GAYOT's list of Top Thanksgiving Wines to pair with your holiday dinner.