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
Explore the sophisticated flavors of Russian Hill through a curated selection of dining destinations that prioritize both culinary excellence and keto-friendly choices. This charming neighborhood offers an impressive global palette, ranging from the refined Italian traditions
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.















