Best Italian Restaurants in Downtown St. Louis
Price
Regions
Areas
Top Rated
Dining Options
Seating options
Accessibility
46 restaurants available nearby
How are Featured results ranked
How is content generated
See what locals rave about
- TTomSt. Louis •3 reviews5.0Dined 4 days agoWe love Eleven Eleven Mississippi. It's where we go to celebrate anniversaries, birthdays, or having survived the week. Last night, my husband's brother was in town and we took him to Eleven Eleven. He raved about the food and how good his steak was. The service was top notch and we had a great reunion in wonderful surroundings.More infoEleven Eleven Mississippi$$$$• Italian• St. Louis•4.7
- JjulieSt. Louis •14 reviews5.0Dined 4 days agoI can’t say enough good things about Charlie gittos! The food is always excellent and the service is top notch. Every year I have my birthday dinner here!More infoCharlie Gitto's 'On the Hill'$$$$• Italian• The Hill•4.8
- JJeffGoldSouth Carolina •8 reviews5.0Dined on 15 Oct 2026Service was fantastic, accommodating for a vegan coworkerMore infoEdera Italian Eatery$$$$• Italian• Central West End•4.7
- LLaurenSt. Louis •3 reviews5.0Dined on 10 Oct 2026Our experience with Lorenzo's was exceptional. This is the best place we have tried on The Hill and in the St. Louis area for Italian food. Our food was delicious and full of flavor, came to the table piping hot and prompt. Our service was phenomenal, Zayla was amazing and so thoughtful, professional and knowledgeable. The water, bread and bussing of the table was excellent with polite and friendly staff happy to help and make our dining experience like no other. When we return to The Hill Lorenzo's will be the place we choose whether for business or pleasure. Oh and the whole place was immaculate, clean and welcoming. The restrooms were so clean and well kept. Cant say enough about how wonderful our experience was. Thank you to Lorenzo's for a perfect meal and date night experience!More infoLorenzo's Trattoria$$$$• Italian• The Hill•4.8
- EEthelPhoenix / Arizona •44 reviews4.0Dined on 10 Oct 2026Good value for Italian food lovers. Would definitely dine their again.More infoThe Old Spaghetti Factory - St. Louis$$$$• Italian• Downtown•4.3
Discover best Italian restaurants in Downtown St. Louis
Discover the vibrant Italian dining scene in Downtown St. Louis, where a variety of Italian restaurants offer an authentic taste of Italy right in the heart of the city. Each restaurant in this locale provides a unique blend of traditional and contemporary Italian dishes, catering to a range of tastes and preferences. From classic pastas and gourmet pizzas to innovative Italian-inspired entrees, the culinary offerings are crafted with fresh, high-quality ingredients. The dining experience is enhanced by the charming ambiance and attentive service that each establishment prides itself on. Whether you're seeking a casual meal or a sophisticated dining experience, Downtown St. Louis's Italian restaurants promise an unforgettable culinary journey. This area is renowned not only for its food but also for providing a delightful dining atmosphere that perfectly complements the rich flavors of Italy.