2020 Best Italian Restaurants in the U.S.A.

Lasagnette at Atlanta's Sotto Sotto, one of GAYOT's Best Italian Restaurants in the U.S.

America's Best Italian Food

Italian food is an undeniable part of the American dining landscape. Nearly every neighborhood has its own red sauce joint, run by a local nonna who's been cooking up her famous lasagna the same way for decades. But today's modern Italian restaurants strive for something more, like handmade pastas, rustic regional recipes and exquisite surroundings.

Check out GAYOT's list of the Top Italian Restaurants in the U.S., presented in alphabetical order.

> Discover the Best Italian Restaurants near you.

> Consult GAYOT's guide to Italian food terms for the next time you visit an Italian eatery.

 
Acquerello
15/20

Named for the watercolors that line the walls of this intimate former chapel in San Francisco, Acquerello offers contemporary interpretations of Italian cuisine. Savor signature dishes such as ridged pasta with foie gras, black truffle and Marsala sauce. See More

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Altura
15/20

Altura in Seattle asks its guests to trust the chef and share a culinary trip paved with luxury ingredients mixed with Northwest and Italian ideas. Expect to devote around three hours to the tasting menu, which kicks off with inspired stuzzichini like sea urchin cannoli. See More

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Babbo
16/20

New Yorkers keep coming back to this modern Italian trattoria. Try the special pasta tasting menu — five pastas followed by two desserts (talk about a winning formula). See More

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Frasca Food and Wine
17/20

Chef/co-owner Lachlan Mackinnon-Patterson pays tribute to the Friuli-Venezia Giulia region of Italy at Frasca Food and Wine, one of GAYOT's Top 40 Restaurants in the U.S. Guests embark on a gastronomic odyssey that relies on a bumper crop of foodstuffs from local farmers, ranchers and purveyors. See More

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Macchialina
14/20

Seek out Macchialina in South Beach for rustic yet modern Italian fare from Michael Pirolo. Don't leave without savoring creamy polenta with sausage ragù; Mediterranean octopus with concentrated tomato and potato crema; and beet mezzaluna crowned with hazelnuts, brown butter and ricotta salata. See More

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Sinatra
15/20

Sinatra at Encore Las Vegas offers up a contemporary take on classic Italian cooking and is the only restaurant sanctioned by the Sinatra family to bear his name. Enjoy high-quality dishes in a space full of old-fashioned charm. See More

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Sotto Sotto
15/20

Atlanta's Sotto Sotto firmly adheres to the principles of the Italian kitchen. Its authenticity is evident in such starters as the cooked-to-order risotti that come al dente — try the seafood or the mantecato with its drizzle of good balsamic vinegar. Whole roasted fish is a study in simplicity, and the oak-roasted veal chop is perhaps the best in town. See More

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Spiaggia
16/20

Expensive but special-occasion worthy, Spiaggia in Chicago remains an Italian fine dining staple after 30-plus years. With a menu made almost entirely from scratch (pasta included), the difference in taste is evident when stacked against competitors. See More

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Vetri Cucina
17/20

One of GAYOT's Top 40 Restaurants in the U.S., Vetri Cucina offers a feast of soulful Italian cooking in Philadelphia. Chef Marc Vetri's repertoire of earthy, eloquent and ambitious food has included sweet onion crêpe with truffle fondue; delicate Swiss chard gnocchi with brown butter; and for dessert, a chocolate polenta soufflé. See More

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