Looking for keto-friendly restaurants? Our top picks are Raf's, Da Silvano and Briciola Pizza Bar, ranked by diner ratings among restaurants whose current menus carry keto-tagged dishes. The full list below updates as menus change.
Discover the top-rated dining experiences
Discover the best Little Italy restaurants with keto options. Highly rated spots with authentic keto menu items.
Little Italy's Premier Keto Destinations
Little Italy offers a diverse landscape of low-carb dining possibilities that go far beyond traditional pasta dishes. This curated selection features everything from authentic Italian favorites at Raf's and Song’ E Napule to vibrant international flavors found at Maya Mezcal and Sōrate. Whether you are craving a quick bite from Jerrell's BETR BRGR or a sophisticated sit-down meal at Pecking House, these establishments ensure you can maintain your keto lifestyle while exploring the neighborhood's best Mexican, Japanese, and American fare.
30 restaurants in Best Little Italy Restaurants with Keto Options | Top Rated
- Raf's · rated 5/5: 5 keto-friendly dishes on the menu. Italian.
- Da Silvano · rated 4.8/5: 4 keto-friendly dishes on the menu. Italian.
- Briciola Pizza Bar · rated 4.8/5: 7 keto-friendly dishes on the menu. Italian.
- Jerrell's BETR BRGR · rated 4.7/5: 4 keto-friendly dishes on the menu. American.
- Carol's Bun · rated 4.7/5: 12 keto-friendly dishes on the menu. American.
- Boqueria Soho · rated 4.6/5: 8 keto-friendly dishes on the menu. Spanish.
- Piacere · rated 4.6/5: 5 keto-friendly dishes on the menu. Italian.
- Ramen Ishida · rated 4.6/5: 3 keto-friendly dishes on the menu. Japanese.
- Pep's on Grand · rated 4.6/5: 4 keto-friendly dishes on the menu. Italian.
- Katz's Delicatessen · rated 4.5/5: 3 keto-friendly dishes on the menu. American.
- Bowery Meat Company · rated 4.5/5: 16 keto-friendly dishes on the menu. Steakhouse.
- Pasquale Jones · rated 4.5/5: 9 keto-friendly dishes on the menu. Italian.
- $1.50 Fresh Pizza · rated 4.5/5: 9 keto-friendly dishes on the menu. Italian.
- Trapizzino · rated 4.5/5: 7 keto-friendly dishes on the menu. Italian.
- Mikaku · rated 4.5/5: 3 keto-friendly dishes on the menu. Japanese.
- Tre Giovani · rated 4.5/5: 4 keto-friendly dishes on the menu. Italian.
- Bayard Sushi · rated 4.5/5: 3 keto-friendly dishes on the menu. Japanese.
- Paesano's · rated 4.4/5: 11 keto-friendly dishes on the menu. Italian.
- Dudleys · rated 4.4/5: 6 keto-friendly dishes on the menu. American.
- Senza Gluten · rated 4.4/5: 6 keto-friendly dishes on the menu. Italian.
- Taiwan Pork Chop House · rated 4.4/5: 8 keto-friendly dishes on the menu. Chinese.
- Wildair · rated 4.4/5: 5 keto-friendly dishes on the menu. American.
- Figaro · rated 4.4/5: 13 keto-friendly dishes on the menu. French.
- Tonii's Fresh Rice Noodle · rated 4.4/5: 3 keto-friendly dishes on the menu. Chinese.
- Binondo · rated 4.4/5: 8 keto-friendly dishes on the menu. Chinese.
- The Dutch · rated 4.3/5: 8 keto-friendly dishes on the menu. American.
- Little Italy Pizzeria & Deli · rated 4.3/5: 3 keto-friendly dishes on the menu. Italian.
- Antique Garage · rated 4.3/5: 32 keto-friendly dishes on the menu. Mediterranean.
- lupe's East L.A. Kitchen · rated 4.3/5: 5 keto-friendly dishes on the menu. Mexican.
- Barrio Chino · rated 4.3/5: 10 keto-friendly dishes on the menu. Mexican.
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.




















