Looking for restaurants? Our top picks are Midtown Bakery, Federalist Pizza and Roma's Pizzeria, ranked by diner ratings. The full list below updates as menus change.
Discover the top-rated dining experiences
Experience the best italian restaurants in Sacramento. From authentic flavors to modern interpretations, discover top-rated italian dining.
Sacramento's Premier Italian Destinations
Sacramento’s vibrant dining scene offers a wealth of comforting flavors, ranging from traditional old-world classics to modern, locally-inspired creations. This curated selection highlights the city's best Italian and American fare, where you can find everything from wood-fired pizzas at Federalist Pizza and Masullo to the hearty, homestyle dishes of Roma's Pizzeria and La Trattoria Bohemia. Whether you are craving a quick custom pie from Pieology Pizzeria or a sweet treat from Midtown Bakery, these local favorites capture the diverse spirit of the capital's culinary landscape.
6 restaurants in Best Italian Restaurants in Sacramento | Top Rated Italian Food
- Midtown Bakery · rated 4/5: American.
- Federalist Pizza: Italian.
- Roma's Pizzeria: Italian.
- Masullo: Italian.
- Pieology Pizzeria: Italian.
- La Trattoria Bohemia: Italian.
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.


