14 ranked

The best Italian restaurants in Pittsburgh

Pittsburgh's Italian scene runs on two tracks. The red-sauce institutions have been feeding this city since the mills were open, and the newer handmade-pasta rooms are quietly some of the best restaurants of any kind here. Both belong on the same board.

  1. 1

    Downtown · $$$ · No. 8 of 157 overall

    Big Burrito's Italian flagship on Market Square, and quietly one of the most consistent kitchens Downtown. The half-pasta duo is the pro move: two favorites, one plate each, zero regret. Polished room, serious wine, and service that makes a Tuesday feel booked-for-weeks.

    Order: Half-pasta duo, order two favorites

  2. 2

    Oakland · $$$ · No. 12 of 157 overall

    A Forbes Five-Star chef came home and picked pizza as the hill to die on. Three-day dough, blistered and structurally serious - proof a hotel restaurant can be the whole reason you drive to Oakland.

    Order: The 72-hour dough pizza

  3. 3

    South Side · $$$ · No. 14 of 157 overall

    A tiny South Side room many locals call the city's best Italian. The hard part is getting in. Book well ahead.

    Order: Sicilian small plates, if you can get in

  4. 4

    Strip District · $$$ · No. 18 of 157 overall

    One of the most consistent kitchens in the Strip. The focaccia and pasta are the move; brunch is a scene, so expect a wait.

    Order: Sunday gravy rigatoni & fresh focaccia

  5. 5

    Allentown · $$$$ · No. 23 of 157 overall

    Old-school red-sauce Italian worth the drive to Allentown. Get the veal. No pretense, big flavors, real-deal cooking.

    Order: Veal chop & homemade pasta

  6. 6

    Shadyside · $$$ · No. 29 of 157 overall

    A cozy below-street nook with genuinely good handmade pasta. Tight space, regulars in the know.

    Order: Handmade pasta in the below-street hideaway

  7. 7

    Strip District · $ · No. 46 of 157 overall

    Strip District bakery counter doing tomato pie the old way: room temperature, heavy on the sauce, no cheese to speak of. Buy more than you think you need.

    Order: A square of tomato pie

  8. 8

    Lawrenceville · $$ · No. 65 of 157 overall

    A warm, no-frills trattoria with honest handmade pasta. Tiny and beloved. Book ahead.

    Order: Tuscan-style handmade pasta & gnocchi

  9. 9

    South Side · $$ · No. 75 of 157 overall

    He cooks, she runs the room, yinz bring the wine. A tiny BYOB doing Italian-American with actual technique behind it - the rare Carson Street table where dinner is the point, not the pregame.

    Order: Handmade pasta, whatever's on that night

  10. 10

    Mt. Lebanon · $$$ · No. 90 of 157 overall

    A South Hills Italian that's been doing proper Neapolitan pizza since before it was trendy. The margherita comes out of the wood oven with the right leopard-spot char and a soupy center the purists demand. Worth the trip to Washington Road.

    Order: Margherita from the wood-fired oven

  11. 11

    Downtown · $$$ · No. 127 of 157 overall

    A polished Italian room in the Union Trust building, and a bar worth sitting at alone with a plate of pasta and a glass of something red.

    Order: Handmade pasta at the bar

  12. 12

    Bloomfield · $ · No. 129 of 157 overall

    Liberty Avenue red-sauce pizzeria with no ambitions beyond feeding Bloomfield well. It has done that for years without a single Instagram post.

    Order: A pepperoni pie, well done

  13. 13

    Downtown · $$ · No. 135 of 157 overall

    Three floors, three moods: meatballs at the bottom, a proper dining room in the middle, and a retractable-roof beer garden on top. Il Tetto is why anybody actually comes.

    Order: Meatballs downstairs, a drink on Il Tetto

  14. 14

    Downtown · $$$ · No. 149 of 157 overall

    Dependable downtown Italian that has fed Pittsburgh for decades. Handmade pasta, a real wine list, nothing flashy. A grown-up dinner that does not miss.

    Order: Handmade pappardelle

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Every list on this site is cut from the same board: 157 restaurants scored 1-5 by one critic, where nothing can be bought. How the ratings work →

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