Looking for keto-friendly restaurants? Our top picks are Freddie's Sandwiches, Ristorante Fior d'Italia and Square Pie Guys, ranked by diner ratings among restaurants whose current menus carry keto-tagged dishes. The full list below updates as menus change.
Discover the top 4 fine dining dining experiences
Discover fine dining restaurants in Russian Hill with keto options. Budget-friendly keto dining.
Russian Hill's Fine Dining Keto Destinations
Elevate your next evening out with a visit to Russian Hill’s premier fine dining destinations, where ketogenic-friendly menus meet sophisticated San Francisco charm. This curated collection features everything from the innovative Korean techniques at SSAL to the timeless, protein-forward excellence of House of Prime Rib and Harris'. Whether you are craving a world-class steak or the pristine coastal flavors found at Scoma's, these upscale eateries prove that sticking to a low-carb lifestyle never requires sacrificing a luxurious culinary experience.
22 restaurants in Best Fine Dining Keto Restaurants in Russian Hill | Fine Dining & Keto
- Freddie's Sandwiches · rated 5/5: 5 keto-friendly dishes on the menu. American.
- Ristorante Fior d'Italia · rated 4/5: 3 keto-friendly dishes on the menu. Italian.
- Square Pie Guys · rated 3/5: 7 keto-friendly dishes on the menu. Italian.
- Scoma's: 10 keto-friendly dishes on the menu. Seafood.
- Lai Hong Lounge: 8 keto-friendly dishes on the menu. Chinese.
- Harris': 7 keto-friendly dishes on the menu. Steakhouse.
- Nob Hill Cafe: 6 keto-friendly dishes on the menu. Italian.
- Il Pollaio: 5 keto-friendly dishes on the menu. Italian.
- Red Window: 3 keto-friendly dishes on the menu. Spanish.
- Korean Soul Chicken: 3 keto-friendly dishes on the menu. Korean.
- Boudin Bakery & Museum · rated 5/5: 1 keto-friendly dish on the menu. American.
- Cioppino's · rated 4/5: 2 keto-friendly dishes on the menu. Italian.
- Abrazo: 2 keto-friendly dishes on the menu. Spanish.
- Barbara Pinseria & Cocktail Bar: 2 keto-friendly dishes on the menu. Italian.
- Saint Frank: 1 keto-friendly dish on the menu. American.
- Elephant Sushi: 1 keto-friendly dish on the menu. Japanese.
- SSAL: 1 keto-friendly dish on the menu. Korean.
- Swensen's Ice Cream: 1 keto-friendly dish on the menu. American.
- Peet's Coffee: 1 keto-friendly dish on the menu. American.
- Bowl'd Acai: 1 keto-friendly dish on the menu. American.
- House of Prime Rib: 1 keto-friendly dish on the menu. Steakhouse.
- McCormick & Schmick's: 1 keto-friendly dish on the menu. Seafood.
How this list is built
Chefi analyzes each restaurant’s menu and tags every dish’s dietary suitability with an ingredient-based engine. Restaurants with at least three matching dishes on their current menu rank first, ordered by diner ratings, with the number of matching dishes breaking ties; owner-verified restaurants are highlighted at the top. Lists refresh as menus and ratings change.
