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BEST RATED ELK GROVE, CA ITALIAN RESTAURANTS

3 Best Italian Restaurants in Elk Grove, CA

Expert-recommended Top 3 Italian Restaurants in Elk Grove, California. All of our italian restaurants actually face a rigorous 50-Point Inspection, which includes customer reviews, history, complaints, ratings, satisfaction, trust, cost and general excellence. You deserve only the best!

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11+ YEARS IN TBR
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PAESANOS ELK GROVE

(5.0 Score)
8519 Bond Road, #101,
Elk Grove, CA 95624 Directions

Since 2005

Specialities:

✓Bruschetta ✓Calamari ✓Fried Ravioli ✓Meatball App ✓Polenta Fries ✓Tomato Basil Soup ✓1/2 Caesar ✓1/2 House Salad ✓Caesar ✓House Salad ✓Mixed Greens Salad ✓Wedge Salad ✓Alfredo ✓Carbonara ✓Lemon Pistachio Linguine ✓Parmesano ✓Pomodoro ✓Pork Fusilli ✓Rigatoni Alla Vodka ✓Spaghetti and Meatballs ✓Tortellini ✓Capicola and Burrata Sandwich ✓Cheese Steak ✓Chicken Sandwich ✓Meatball Calzone ✓Vodka Parmesano Sandwich ✓Apple and Gorgonzola ✓Cheese Pizza ✓Combo

"Paesanos Elk Grove is a casual Italian eatery offering gourmet pizzas, pasta dishes, and salads, as well as a bar and wine list. The restaurant is situated in Elk Grove Marketplace. The restaurant serves fresh Italian food and pizza throughout the Sacramento Metro area in California. Savor their Fettuccine Arrostiti, which features blackened chicken, pasilla chilies, and red peppers tossed in a zesty cilantro-lime cream sauce. Paesanos Elk Grove provides catering services for weddings, anniversaries, and birthdays. The restaurant also offers wheelchair accessibility, outdoor seating, and free Wi-Fi facilities.

2026 Highlights: They provide gluten-free menu options, offering carefully prepared dishes to accommodate guests with gluten sensitivities while ensuring a flavorful and enjoyable dining experience."

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License #2666616

Menu:

PASTAS:
Alfredo $18.00
Arrostiti $20.00
Baked Pasta $20.00
Carbonara $19.00
Lemon Pistachio Linguine $22.00
Parmesano $21.00
Pomodoro $18.00
Pork Fusilli $21.00
Rigatoni Alla Vodka $18.00
Spaghetti & Meatballs $20.00
Tortellini $19.00
PIZZAS:
Apple & Gorgonzola $20.00
Cheese Pizza $17.00
Combo $21.00
Greek $20.00
Margherita $19.00
Pepperoni Pizza $18.00
Sicilian $21.00
Soppressata Hot Honey $21.00
Vegano Pizza $20.00
Watermelon Prosciutto Pizza $22.00
STARTERS:
Bocce Balls $14.00
Bruschetta $16.00
Calamari $18.00
Fried Ravioli $16.00
Meatball App $17.00
Polenta Fries $15.00
Tomato Basil Soup $9.00
Sandwiches & Calzones:
Capicola & Burrata Sandwich $20.00
Cheese Steak $18.00
Chicken Sandwich $17.00
Meatball Calzone $19.00

Discount:

Get1 Point for Every $1 Spent

Get $5 Off Every 100 Points

Contact:

(916) 690-8646

Sun-Thu: 11:30am - 9pm
Fri & Sat: 11:30am - 10pm
Happy Hour:
Mon-Fri: 3pm - 6pm

TBR® Inspection Report:

Palermo Ristorante Italiano - Elk Grove, CA Italian Restaurants - Food Image
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11+ YEARS IN TBR
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PALERMO RISTORANTE ITALIANO

(5.0 Score)
9632 Emerald Oaks Drive,
Elk Grove, CA 95624 Directions

Since 1990

Specialities:

✓Eggplant Norma ✓Linguine Puttanesca ✓Linguine Carrettiera ✓Rigatoni Meatballs ✓Pappardele Alfredo ✓Gnocchi Del Giorno ✓Farfalle Gratinate ✓Chicken Pansotti ✓Penne Siracusa ✓Chicken Parmigiana ✓Chicken Marsala ✓Veal Parmigiana ✓Lasagna ✓Zuppa Di Pesce (cioppino) ✓Risotto Frutti Di Mare ✓Prawns Olivia ✓Linguine Mussels Tarantina ✓Linguine Mussels Fra’diavolo ✓Crab Ravioli ✓Linguine Prawns Livornese ✓Linguine Clams Marechiaro ✓Linguine Clams Fra’diavolo ✓Linguine Taormina

"Palermo Ristorante Italiano is a family-owned and operated restaurant that offers an exquisite menu, delicious wines, daily specials, and more in a romantic setting. The owner of the restaurant is Giovanni Toccagino. The restaurant has been providing service for over 30 years. Palermo Ristorante provides a wide selection of the menu, including pasta, appetizers, salads, and sides. Enjoy their Linguine Puttanesca, which features a bold blend of basil, garlic, black olives, capers, and marinara sauce for a flavorful classic. The restaurant offers free Wi-Fi options.

2026 Highlights: Palermo Ristorante offers a welcoming dining experience where guests can enjoy delicious Italian cuisine with family and friends."

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License #C2631042

Menu:

PASTA:
Choose Your Own Pasta And Sauce $19.95
Eggplant Norma $22.95
Linguine Puttanesca $19.95
Linguine Carrettiera $19.95
Rigatoni Meatballs $26.95
Gnocchi Del Giorno $26.95
Farfalle Gratinate $26.95
Chicken Pansotti $27.95
Penne Siracusa $25.95
APPETIZERS:
Spinach $14.95
Eggplant Parmigiana $15.95
Caprese $14.95
Mussels Mostarda $20.95
Calamari Fritti $19.95
Polenta With Mushrooms $12.95
SALADS:
Dinner Salad $7.95
Sicilian Salad $11.95
Caesar Salad $12.95
Chicken Salad $16.95
SOUP:
Minestrone Cup $5.50
Minestrone Bowl $6.50
DESSERTS:
Cannoli $12.00
Chocolate Hazelnut Cake $10.00
Lemon Marscapone Cake $10.00
Tiramisu $12.00
Zabaione $12.00
Spumoni $6.00

Contact:

(916) 686-1582

Tue-Thu: & Sun: 4pm - 9pm
Fri & Sat: 4pm - 10pm
Mon: Closed

TBR® Inspection Report:

The Old Spaghetti Factory Elk Grove - Elk Grove, CA Italian Restaurants - Food Image
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7+ YEARS IN TBR
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THE OLD SPAGHETTI FACTORY ELK GROVE

(4.9 Score)
7727 Laguna Boulevard,
Elk Grove, CA 95758 Directions

Since 1969

Specialities:

✓Italian Sausage With Meat Sauce ✓Garlic Shrimp Fettuccine ✓Fettuccine Alfredo ✓Spinach Tortellini With Alfredo Sauce ✓Breast Of Chicken Fettuccine ✓Chicken Parmigiana ✓Chicken Marsala ✓The Manager's Favorite ✓Marinara Sauce ✓Mushroom Sauce ✓White Clam Sauce ✓Rich Meat Sauce ✓Mizithra Cheese and Browned Butter ✓Pot Pourri ✓Spicy Spaghetti Vesuvius ✓Adult Mac and Cheese ✓Roasted Mushroom Ravioli ✓Spinach and Cheese Ravioli ✓Lobster and Crab Ravioli

"The Old Spaghetti Factory Elk Grove is a family-owned chain restaurant featuring traditional Italian entrees amid turn-of-the-century decor. The restaurant is located in Laguna Crossroads. The restaurant is built with antique lighting, glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. The Meat Lover’s Treat features Sicilian meatballs, Italian sausage, and spaghetti topped with rich meat sauce. The Old Spaghetti Factory Elk Grove provides banquet facilities that accommodate an intimate gathering of 25 to 75 or more (up to 150 in some locations). The restaurant offers unique gift cards.

2026 Highlights: The restaurant offers a charming vintage-inspired atmosphere with classic lighting, stained-glass details, vibrant booths, and a signature trolley car, creating a warm and memorable dining experience for guests."

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Menu:

PASTA:
The Manager's Favorite $21.25
Marinara Sauce $17.99
Mushroom Sauce $18.75
White Clam Sauce $19.75
Rich Meat Sauce $20.50
Mizithra Cheese & Browned Butter $20.50
Pot Pourri $21.25
Spicy Spaghetti Vesuvius $21.75
Adult Mac & Cheese $17.99
APPETIZERS:
Sicilian Garlic Cheese Bread $9.50
Olive Tapenade $8.99
Spinach & Artichoke Dip $9.99
SIDES:
Small Broccoli (Serves 1-2) $6.95
Large Broccoli (Serves 3-4) $8.50
Diced, Marinated Chicken $5.99
Side Of Chicken Parmigiana $7.99
Seasoned Chicken Breast $6.99
Italian Sausage $3.99
One Meatball $2.49
Two Meatballs $4.50
Three Meatballs $6.99
Side Of Minestrone Soup $3.99
Extra Loaf Of Bread $2.25
5 Oz. Container Mizithra Cheese $5.99
Pint Of Spumoni Ice Cream $5.95

Discount:

Get 5 Trolley Tickets for Every $1 Spent

Get Trolley Tickets Towards Free Pasta, Appetizers, Drinks and More by Joining Osf Rewards

Contact:

(916) 478-2400

Sun-Thu: 11:30am - 9pm
Fri & Sat: 11:30am - 10pm
WEEKDAY LUNCH:
Mon-Fri: 11:30am - 4pm

TBR® Inspection Report:

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PAESANOS ELK GROVE REVIEWS

Service drinks and food were outstanding definitely will be coming back. We started with the lemon calamari fritti alongside with a lavender lemon drop and a three sheets. Out entrees were the grilled chicken sandwich with tomato soup and the special pasta with grilled chicken balsamic reduction topped with pine nuts. So delicious and the service was great too very accommodating.

First time dining in the restaurant and I had next review on it. First impression was unique with indoor outdoor dining. But upon look closer, the decor and restaurant looks a bit dirty. The booths are very uncomfortable and hard to sit on. However, the foods are absolutely delicious with many varieties of options. The service waitresses is great doing a amazing job serving out dining needs.

Tortellini Formaggio was delicious they forgot to a my sun dried tomatoes. They forgot about our desert. Thank you. I came again with my husband, ordered extra sun dried tomatoes on my tortillini, my husband had Alfredo with shrimp. Got to try the bocchi balls starter. They honored my deserts Ty Bill everything was .

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PALERMO RISTORANTE ITALIANO REVIEWS

Food was really good. For starter, bread and butter was really good. Stem mussel was amazing. The lasagna wow dish was huge and definietl overestimated the portion; had to take home half of it. Prawn Alfredo was light and fresh. The environment was really really open and spacious; really usual restaurant interior; almost vintage. Had a great experience. Service was top notch too.

Went for my mom’s birthday. Food was great and the service was fantastic. Owner came by our table several times to tell jokes which were hilarious, then as we left he found out it was mom’s birthday and came outside and sang her happy birthday. Thank you for great memory for my family.

Everything about this Italian restaurant is far above par. The staff is so very caring and put effort into their work. You wouldn't believe how amazingly delicious the food was, all the are generously proportioned and filled with authentic flavor. I definitely recommend stopping by to give this place a try.

THE OLD SPAGHETTI FACTORY ELK GROVE REVIEWS

I love the Spaghetti Factory. They always have great food and service. I went to Elk Grove, Laguna, California to celebrate my son's high school graduation. When ordering, you have options for lunch or dinner with salad or soup, and accompany them with delicious freshly baked bread with cheese on top, tomato sauce, and fresh basil (unlimited). We ordered soft drinks and strawberry lemonade. For lunch, I like to order shrimp fettuccine, and my children and husband ordered lasagna. Their homemade pastas are delicious with excellent service from their staff. It includes a delicious dessert, I always order chocolate ice cream.

Absolutely loved my dining experience at Old Spaghetti Factory in Elk Grove, CA! The charming ambiance, attentive staff, and delicious pasta dishes left me delighted. From the classic decor to the mouthwatering flavors, it's a must-visit for anyone craving a delightful Italian meal. Will definitely be returning soon.

Spacious but dimly lit with dark wood and floors. Friendly and efficient customer service. Margarita drink was good and the food was delicious.

TBR® Inspection Score Report

PAESANOS ELK GROVE Total Inspection Points: 120/120
Acknowledgments: 10
Table Reservations: 10
Menu Images: 10
Complete Info: 10
Contact Info: 10
Legitimate Ratings: 10
Location Proximity: 10
Online Order: 10
Pricing: 10
Real Discounts: 10
Reviews Study: 10
Video: 10

TBR® Inspection Score Report

PALERMO RISTORANTE ITALIANO Total Inspection Points: 119/120
Business Hours: 9
Acknowledgments: 10
Table Reservations: 10
Menu Images: 10
Complete Info: 10
Contact Info: 10
Experience: 10
Legitimate Ratings: 10
Location Proximity: 10
Pricing: 10
Video: 10
Table Reservation: 10

TBR® Inspection Score Report

THE OLD SPAGHETTI FACTORY ELK GROVE Total Inspection Points: 118/120
Current Evaluation: 9
Legitimate Ratings: 9
Acknowledgments: 10
Table Reservations: 10
Contact Info: 10
Experience: 10
Gift Certificates: 10
Location Proximity: 10
Online Order: 10
Pricing: 10
Real Discounts: 10
Video: 10