Looking for restaurants? Our top picks are Paesanos Riverwalk, Orderup and The Dakota East Side Ice House, ranked by diner ratings. The full list below updates as menus change.
Discover the top-rated dining experiences
Experience the best italian restaurants in San Antonio. From authentic flavors to modern interpretations, discover top-rated italian dining.
San Antonio's Premier Italian Destinations
San Antonio offers a vibrant blend of Italian and American flavors that cater to every craving, from upscale riverfront dining to casual neighborhood hangouts. This curated selection features everything from the sophisticated plates at Paesanos Riverwalk and Capo's Pizza to the family-friendly atmospheres of Big Lou's Pizza and Peter Piper Pizza. Whether you are looking for a classic pasta dish or American comfort food at spots like The Dakota East Side Ice House and Orderup, you will find the perfect table waiting for you in the heart of the city.
9 restaurants in Best Italian Restaurants in San Antonio | Top Rated Italian Food
- Paesanos Riverwalk: Italian.
- Orderup: American.
- The Dakota East Side Ice House: American.
- Big Lou's Pizza: Italian.
- Chuck E. Cheese: Italian.
- Peter Piper Pizza: Italian.
- Train Cafe: American.
- Capo's Pizza: Italian.
- Chuck E. Cheese: 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.



