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-rated dining experiences
Discover the best Russian Hill restaurants with keto options. Highly rated spots with authentic keto menu items.
Russian Hill's Premier Keto Destinations
Russian Hill offers a sophisticated dining landscape where health-conscious diners can find an impressive variety of keto-friendly options across a wide range of global cuisines. From the refined Spanish small plates at Abrazo and Red Window to the fresh Japanese offerings at Elephant Sushi and modern Korean flavors at SSAL, this neighborhood caters to every palate. You can also enjoy hearty Italian classics at Ristorante Fior d'Italia and Il Pollaio or explore diverse American and Chinese dishes that make staying low-carb both easy and delicious. Whether you are grabbing a quick bite or settling in for a multi-course meal, these local favorites ensure a satisfying experience in one of San Francisco's most iconic settings.
22 restaurants in Best Russian Hill Restaurants with Keto Options | Top Rated
- 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.
