Looking for paleo-friendly restaurants? Our top picks are Caffe Italia, Puerto La Boca Argentinian and Wet Stone Wine Bar & Cafe, ranked by diner ratings among restaurants whose current menus carry paleo-tagged dishes. The full list below updates as menus change.
Discover the top-rated dining experiences
Discover the best Little Italy restaurants with paleo options. Highly rated spots with authentic paleo menu items.
Little Italy's Premier Paleo Destinations
San Diego's Little Italy is a premier destination for health-conscious foodies looking to enjoy a diverse range of paleo-friendly meals without sacrificing flavor. This curated collection spans everything from fresh seafood at Brigantine Seafood and Oyster Bar and Argentinian steakhouse favorites at Puerto La Boca to vibrant Mexican dishes at Cocina 35 and modern Italian fare at Cucina Urbana. Whether you are grabbing a quick American bite at Burger Lounge or settling in for a Mediterranean-inspired evening at Wet Stone Wine Bar & Cafe, these local favorites ensure that sticking to your lifestyle is both easy and delicious.
11 restaurants in Best Little Italy Restaurants with Paleo Options | Top Rated
- Caffe Italia · rated 4/5: 3 paleo-friendly dishes on the menu. Italian.
- Puerto La Boca Argentinian: 12 paleo-friendly dishes on the menu. Steakhouse.
- Wet Stone Wine Bar & Cafe: 11 paleo-friendly dishes on the menu. Mediterranean.
- Influx: 5 paleo-friendly dishes on the menu. American.
- Coffee n Talk: 4 paleo-friendly dishes on the menu. American.
- Cucina Urbana: 3 paleo-friendly dishes on the menu. Italian.
- Brigantine Seafood and Oyster Bar · rated 3/5: 2 paleo-friendly dishes on the menu. Seafood.
- Cocina 35: 2 paleo-friendly dishes on the menu. Mexican.
- Burger Lounge: 2 paleo-friendly dishes on the menu. American.
- The Corner Drafthouse: 1 paleo-friendly dish on the menu. American.
- The Crack Shack: 1 paleo-friendly dish on the menu. American.
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.









