Looking for keto-friendly restaurants? Our top picks are Royal Boucherie, La Famiglia Ristorante and Cafe Tolia, 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 Old City restaurants with keto options. Highly rated spots with authentic keto menu items.
Old City's Premier Keto Destinations
Discover the best of Old City, Philadelphia, with a curated collection of restaurants that make sticking to a keto lifestyle both easy and delicious. This diverse selection spans a wide array of global flavors, ranging from the celebrated Middle Eastern dishes at Zahav and Al-Sham #5 to the sophisticated Italian plates at La Famiglia Ristorante. Whether you are looking for elevated American classics at Fork and Khyber Pass Pub or the bold Chinese spices of Han Dynasty, these neighborhood favorites offer plenty of low-carb options without compromising on the historic district's vibrant culinary spirit.
15 restaurants in Best Old City Restaurants with Keto Options | Top Rated
- Royal Boucherie: 7 keto-friendly dishes on the menu. French.
- La Famiglia Ristorante: 4 keto-friendly dishes on the menu. Italian.
- Cafe Tolia: 3 keto-friendly dishes on the menu. Mediterranean.
- Al-Sham #5: 3 keto-friendly dishes on the menu. Middle Eastern.
- Panorama: 3 keto-friendly dishes on the menu. Italian.
- Khyber Pass Pub · rated 5/5: 2 keto-friendly dishes on the menu. American.
- Marsha's South Street · rated 5/5: 2 keto-friendly dishes on the menu. American.
- Zahav: 2 keto-friendly dishes on the menu. Middle Eastern.
- Han Dynasty: 2 keto-friendly dishes on the menu. Chinese.
- Fringe Bar: 1 keto-friendly dish on the menu. American.
- Race Street Cafe: 1 keto-friendly dish on the menu. American.
- Almost Home General: 1 keto-friendly dish on the menu. American.
- Silk City: 1 keto-friendly dish on the menu. American.
- Fork: 1 keto-friendly dish on the menu. American.
- Las Bugambilias: 1 keto-friendly dish 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.
