3 Best Italian Restaurants in St Louis, MO

Expert-recommended Top 3 Italian Restaurants in St Louis, Missouri. 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!

11+ YEARS IN TBR
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CHARLIE GITTO'S ON THE HILL

5226 Shaw Avenue,
St Louis, MO 63110 Directions

Since 1981

Specialities:

Toasted Ravioli Arancini Calamari Fritti Garlic Cheese Toast Eggplant Parmigiano Sicilian Garlic Dip Cg Signature Shrimp Meatballs In Pomodoro Lobster Bisque French Onion Mixed Green Classic Caesar Italian Chopped Wedge Siciliano Margherita Cheese Pizza Gnocchi Au Gratin Chef’s Potato Chef’s Vegetable Creamed Spinach Fiore Borghese Lasagna Tortellini Alla Panna Gnocchi Alla Sorrentino Straccetti With Chicken Rigatoni With Sausage Baked Spaghetti With Meatballs Beef Ravioli Cannelloni Manicotti NY Strip

"Charlie Gitto's On the Hill is a long-standing Italian restaurant that offers dishes in an old-world and elegant atmosphere. The restaurant has been serving guests for more than 40 years, building a long-standing reputation for quality food and service over time. The restaurant offers a wide selection of steaks, veal, seafood, pizzas, salads, appetizers, and desserts. Charlie Gitto's On the Hill ensures the beauty of Italian cuisine with a Sicilian-inspired menu prepared with fresh source ingredients. The restaurant provides a private dining room for retirements, wedding rehearsal dinners, and family celebrations, accommodating parties from 8 to 100 people. Charlie Gitto's On the Hill provides an extensive wine list that features both domestic and imported Italian wines. They provide gift card promotions during the winter holiday season.

2026 Highlights: Charlie Gitto’s has received numerous awards and recognitions over the years, including being named one of the nation’s top 50 Italian restaurants by OpenTable. It has also been featured in prominent media outlets such as The New York Times, Feast, Tasting Table, Epicurious, Fox 2, and KSDK."

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License #X00131112

Menu:

APPETIZERS:
Toasted Ravioli $16.00
Arancini $15.00
Calamari Fritti $17.00
Garlic Cheese Toast $9.00
Eggplant Parmigiano $14.00
Sicilian Garlic Dip $8.00
Cg Signature Shrimp $22.00
Meatballs In Pomodoro $14.00
SOUPS:
Lobster Bisque $14.00
French Onion $12.00
SALADS:
Mixed Green $11.00
Classic Caesar $12.00
Italian Chopped $13.00
Wedge $12.00
BRICK OVEN PIZZAS:
Siciliano $18.00
Margherita $16.00
Cheese Pizza $14.00
SIDES:
Gnocchi Au Gratin $9.00
Chef's Potato $9.00
Chef's Vegetable $9.00
Creamed Spinach $9.00
HANDCRAFTED PASTA:
Fiore Borghese $24.00
Lasagna $25.00
Tortellini Alla Panna $25.00
Gnocchi Alla Sorrentino $25.00
Straccetti With Chicken $24.00
Rigatoni With Sausage $24.00
Baked Spaghetti With Meatballs $25.00
Beef Ravioli $25.00

Discount:

Get $10 Off in Reward Dollars for every 250 points earned

Contact:

(314) 772-8898

Mon-Thu: 5pm - 9pm
Fri & Sat: 5pm - 10pm
Sun: 4pm - 9pm

TBR® Inspection Report:

7+ YEARS IN TBR
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THE OLD SPAGHETTI FACTORY ST. LOUIS

727 North First Street,
St Louis, MO 63102 Directions

Since 1969

Specialities:

Chicken Penne Olive Tapenade Spinach and Artichoke Dip Soup and Salad Our Famous Baked Lasagna Garlic Mizithra Sicilian Meatballs Meat Lover's Treat Italian Sausage With Meat Sauce Garlic Shrimp Fettuccine Fettuccine Alfredo Chicken Piccata 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 Potpourri Spicy Spaghetti Vesuvius Adult Mac and Cheese Small Broccoli Large Broccoli Diced Marinated Chicken Side of Chicken Parmigiana

"The Old Spaghetti Factory St. Louis is a family-friendly chain restaurant led by Guss and Sally Dussin. The restaurant is located in Raeder Place. The restaurant is designed with antique lighting, intricate stained glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. The Old Spaghetti Factory St. Louis provides homemade pasta, seafood, chicken, and salads. Try their Fettuccine Alfredo noodles in a rich butter cream sauce with shredded Romano cheese. Gluten-friendly menu choices are available. Finish your meal with their refreshing beverages and delightful dessert options.

2026 Highlights: They focus on offering nutritious, well-balanced meals by providing detailed nutritional information for their menu items, allowing customers to make informed dining choices. Their commitment extends beyond great taste, emphasizing both health and quality in every meal they serve."

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License #X00178139

Menu:

APPETIZERS:
Olive Tapenade $8.99
Spinach & Artichoke Dip $9.99
Entrée Salads:
Soup And Salad $10.99
Gus And Sally's Favorites:
Our Famous Baked Lasagna $22.25
Garlic Mizithra $21.25
Sicilian Meatballs $21.25
Meat Lover's Treat $22.25
Italian Sausage With Meat Sauce $21.25
Garlic Shrimp Fettuccine $23.50
Fettuccine Alfredo $19.99
Chicken Piccata $21.99
Breast Of Chicken Fettuccine $22.25
Chicken Parmigiana $21.99
Chicken Marsala $22.25
PASTA CLASSICS:
The Manager's Favorite $20.25
Marinara Sauce $16.99
SIDES:
Small Broccoli $6.95
Large Broccoli $8.50
Diced Marinated Chicken $5.99
Side Of Chicken Parmigiana $7.99
Seasoned Chicken Breast $6.99
Italian Sausage $3.99
Side Sautéed Mushrooms $1.99
One Meatball $2.25
Two Meatballs $4.25
Three Meatballs $5.75

Contact:

(314) 621-0276

Mon-Thu: 11:30am - 2pm|5pm - 9pm
Fri & Sat: 11:30am - 9:30pm
Sun: 11:30am - 9pm

TBR® Inspection Report:

11+ YEARS IN TBR
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ZIA'S

5256 Wilson Avenue,
St Louis, MO 63110 Directions

Since 1985

Specialities:

Amberetti Pomodori Fritti Parmigiana Di Melanzane Calamari Fritti Garlic Cheese Bread Mozzarella Fritti Arancini House Salad Sicilian Salad Deluxe Heirloom Tomato Salad Portobello Ravioli Capellini Scampi Fettuccini Alfredo Linguine Con Pesce Penne Salsiccia Linguine and Clams Linguine Tutto Mare Cannelloni Tortellini Piselli Capellini Alla Zia Capellini Broccoli Linguine Carbonara Beef Ravioli

"Zia's is a modern Italian restaurant located in St. Louis. It has been a local favorite eatery since 1985. It offers Italian classics with imported wine in a casual, comfy setting. Zia's is a family-operated Italian eatery with an elegant setting. Enjoy Italian imported wines, exclusive appetizers, and regular specials on your special occasions. Their dedicated team delivers outstanding service. Zia's offers classic pasta dishes with generous portions. Savor their pasta specials Mostaccioli Al Forno, Seafood Ravioli, Carbonara, Canneloni, Pasta Con Pesce, and Portabella Asparagi. From corporate events to weddings, Zia's offers catering for your special occasions. They offer a great environment, friendly service, and excellent food. Visit Zia's and enjoy a memorable dining experience.

2026 Highlights: They also offer a variety of sandwiches, salads, and gluten-free dishes(specific foods only) to cater to different tastes and dietary preferences. In addition to their delicious food, they are well known for their excellent service and warm hospitality."

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“Best of the Midwest” Best Ethnic Restaurant by Midwest Traveler 2010 - Business of the Year 2013 by Hill Business Association

Menu:

APERITIVO:
Toasted Ravioli $11.00
Crostini Gamberetti $11.00
Pomodori Fritti $11.00
Parmigiana Di Melanzane $13.00
Calamari Fritti $12.50
Garlic Cheese Bread $11.00
Mozzarella Fritti $11.00
Arancini $12.00
INSALATA:
House Salad $5.95
Sicilian Salad $12.14
Deluxe $13.00
Heirloom Tomato Salad $13.00
PASTA:
Portabella Ravioli $17.00
Capellini Scampi $17.50
Fettuccini Alfredo $17.50
Linguine Con Pesce $19.00
Penne Salsiccia $17.00
Linguine & Clams $18.00
Linguine Tutto Mare $39.00
Cannelloni $17.00
Tortellini Piselli $18.00
Capellini Alla Zia $17.00
Capellini Broccoli $17.00
Linguine Carbonara $19.00
Beef Ravioli (Traditional) $13.50
Beef Ravioli (Baked) $14.50
Seafood Ravioli $17.50
Penne Vodka $18.00
Mostaccioli Al Forno $19.00

Contact:

(314) 776-0020 (314) 776-3287

Tue-Sat: 11am - 10pm
Sun & Mon: Closed

TBR® Inspection Report: