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Diners' Choice: Italian restaurants in Sacramento / Sacramento Valley

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OpenTable
Updated May 05, 2025

Looking for restaurants with the best overall Italian cuisine in Sacramento / Sacramento Valley? You’re in the right place. Each month OpenTable analyses more than 400,000 new diner reviews. We sort the results by category to help you discover new favourites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!


A photo of Osteria Fasulo restaurant
4.9
4.9 (1796)
$31 to $50
Italian
Davis
About the restaurant

Osteria Fasulo offers an imaginative selection of authentic and contemporary Italian specialties that change and compliment with our four seasons. Its dishes are prepared using only the finest and the freshest ingredients from traditional and contemporary Italian recipes.
Osteria Fasulo's mission is to consistently provide the highest quality of Italian food and service to our guests
Our top priority will always be our guests — who should always expect exceptional food, outstanding service and always a warm welcome from the Fasulo’s

Top review
Kathleen
Dined 6 days ago
Wonderful. Food, service, atmosphere just perfect.
A photo of Mattone restaurant
4.8
4.8 (303)
$31 to $50
Italian
Sacramento
About the restaurant
Mattone means brick in Italian.
We build our foundation on fresh house made pasta, local produce, meat & cheeses.
Our base is Italian, but our chef has flair for the unexpected & worldly.
Join us for cocktails, wine, beer, & friendly atmosphere.

Top review
EdVIP
Dined on May 3, 2025
Best food and experience geared for grown-ups. Not concerned with trends or the taste-of-the-moment, you steadily and graciously give us classic Italian food prepared by and presented by your knowledgeable staff whose care and attention is both welcome and unrivaled. Always a pleasure to enter your doors.
A photo of Il Fornaio - Sacramento restaurant
4.8
4.8 (3893)
$30 and under
Italian
Sacramento
About the restaurant
Il Fornaio means 'the Baker'; in Italian. Located in downtown Sacramento, this award-winning restaurant offers an authentic and unique Italian dining experience and a Wine Spectator Award of Excellence wine list. Enjoy wood-fired rotisserie and grilled meats, poultry and game; house made and imported pastas; pizzas from an oak wood burning oven; fresh salads and house made soups; antipasti and a wide variety of desserts made daily from scratch.
Top review
Jesse
Dined 4 days ago
Food was spectacular, service was amazing, just a perfect place to for any special occasion
A photo of Mezzo - Stockton restaurant
4.8
4.8 (456)
$30 and under
Italian
Stockton
About the restaurant
Mezzo Ristorante in Brookside is a small neighborhood trattoria. Inspired by the cuisines of Italy, Chef Daniel creates a beautiful seasonal & modern italian menu, featuring local produce, house made pastas, quality meats and fresh fish. Mezzo features weekly seafood, ravioli, drink specials for our customers to enjoy!

Mezzo offers indoor dining & on our heated enclosed patio for our customers to enjoy year round. Our bar opens Tuesday-Saturday n starting at 4:00 and serves beautifully handcrafted cocktails, mocktails, a notable wine list, craft beer & after dinner drinks.

Mezzo specializes in private events showers, graduation, birthdays, baptisms, anniversary parties which can be held in our private patio or restaurant. Look for our farmers market dinners, wine tasting events and wine dinners.

At Mezzo we invite you to relax, restore, dine & enjoy drinks with family and friends.
Best of San Joaquin Magazine winner & Diners choice award



Top review
Daniel
Dined 5 days ago
Awesome experience! All the staff was friendly, the food was excellent! We really enjoyed sitting on the patio!
A photo of Pasquini's Fine Italian Food restaurant
4.9
4.9 (871)
$30 and under
Italian
Yuba City
About the restaurant
Chef/Owner Angelo Micheli uses fresh ingredients from our very own garden which enhances the farm to fork flavors of Italy. Juicy filet & rib eye steaks, seasonal seafood dishes and home made pastas are prepared just to your liking.

Join us on Monday nights for our family friendly, casual Pasta Night (limited menu). Wednesday nights we offer a made to order Prime Rib dinner that will melt in your mouth. We do offer limited seating on our front patio for smaller parties.

Top review
GustavoVIP
Dined 3 days ago
Excellent food and service! Thank you for a great evening. Always appreciate the great staff here.
A photo of Piatti - Sacramento restaurant
4.7
4.7 (2122)
$30 and under
Italian
Sacramento
About the restaurant
Established in 1987, Piatti offers finely crafted fresh Italian cuisine. The soul of the menu is our housemade pasta that we roll, cut and cook by hand everyday. Offering a fresh take on the neighborhood Italian trattoria, Piatti combines a warm, inviting atmosphere, seamless service and an immersive market experience so you can enjoy Piatti at home. Whether dining in or taking home, Piatti brings friends and family together.
Top review
FRANKVIP
Dined 2 days ago
Nice, quiet lunch. Plesant environment and good service.
A photo of Il Fornaio - Roseville restaurant
4.7
4.7 (3492)
$30 and under
Italian
Roseville
About the restaurant
Step inside Il Fornaio and take an award-winning culinary journey through Italy. Specialties include house made pastas, wood-fired pizza, grilled fish, authentic risotto, and rotisserie meats. Using the freshest ingredients and traditional cooking techniques, Il Fornaio offers a wide variety of premium-quality Italian food paired with great cocktails and a Wine Spectator Award of Excellence wine list.
Top review
Steven
Dined 3 days ago
The food is great, and the service is excellent. The restaurant is quiet.
A photo of Caffe Italiano Ristorante restaurant
4.6
4.6 (343)
$30 and under
Italian
Fair Oaks
About the restaurant
Authentic Italian cuisine in Fair Oaks. We use the freshest ingredients and provide the best service. We look forward to seeing you!
Top review
JosephVIP
Dined 5 days ago
Exceptional service with great food. A hidden gem.
A photo of The Old Spaghetti Factory - Rancho Cordova restaurant
4.8
4.8 (8)
$30 and under
Italian
Rancho Cordova
About the restaurant
Dining at The Old Spaghetti Factory is an experience. For decades, they have invested meticulous attention to their unique designs and authentic vintage décor. Every location is adorned with antique lighting, intricate stained glass displays, large colorful booths, and an old-fashioned trolley car for guests to dine in. It’s the perfect atmosphere for a family celebration, a large group event, or a special dinner date.

A family business since 1969, their founding philosophy — “a memorable dining experience doesn’t have to cost a lot of money” — is perhaps more relevant now than ever. Every entree is a "complete meal," served with hot freshly-baked sourdough bread, soup or salad, and ice cream for dessert at no extra charge.

Top review
Sally
Dined on May 8, 2025
Good food, celebrating a family birthday. Reservations easy. Our waiter was friendly but nit that attentive, had to ask for several things.
A photo of Vacanza Romana restaurant
4.5
4.5 (134)
$30 and under
Italian
El Dorado Hills
About the restaurant
A LITTLE 'PEZZO' OF ITALY IN EL DORADO HILLS
We are bringing exciting Italian dinners back to Sacramento and El Dorado Hills daily in the true Italian way!



Our little restaurant in the Town Center in El Dorado Hills is the perfect getaway for all your Italian needs. We are keeping true to the Italiano heritage with traditional techniques all while celebrating the abundant selections of locally grown and sourced foods in the Farm to Fork Capital of America, Sacramento California.



We only use the freshest local and true Italian imported ingredients when making our menus. From our daily hand-made pasta to our Neapolitan-inspired pizzas we can promise that everything we do here at Vacanza Romana is 100% made with amorè.



Come on a Holiday (Vacanza) with us to Vacanza Romana by booking your table today.



Let us bring the vibrant streets of Rome to you.

Top review
Ralph
Dined on May 8, 2025
We dined on the Wednesday night tour of Italy . The meal was superb and Jordan our server was fantastic.
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