Looking for paleo-friendly restaurants? Our top picks are Khyber Pass Pub, Positano Coast by Aldo Lamberti and Royal Boucherie, 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 Old City restaurants with paleo options. Highly rated spots with authentic paleo menu items.
Old City's Premier Paleo Destinations
Discover the best paleo-friendly dining in Philadelphia’s historic Old City, where health-conscious menus meet the neighborhood's vibrant and diverse culinary scene. From the celebrated Middle Eastern flavors of Zahav to the hearty American fare at Khyber Pass Pub and Yards Brewing Company, this collection showcases a wide range of cuisines including Japanese, Mediterranean, and Spanish. Whether you are stopping by Eggcellent Cafe for a clean breakfast or enjoying a sophisticated dinner at The Plough & the Stars, these restaurants offer flavorful, grain-free options that cater perfectly to your lifestyle.
24 restaurants in Best Old City Restaurants with Paleo Options | Top Rated
- Khyber Pass Pub · rated 5/5: 3 paleo-friendly dishes on the menu. American.
- Positano Coast by Aldo Lamberti: 14 paleo-friendly dishes on the menu. Italian.
- Royal Boucherie: 13 paleo-friendly dishes on the menu. French.
- Cafe Tolia: 9 paleo-friendly dishes on the menu. Mediterranean.
- Zahav: 7 paleo-friendly dishes on the menu. Middle Eastern.
- Han Dynasty: 7 paleo-friendly dishes on the menu. Chinese.
- Al-Sham #5: 6 paleo-friendly dishes on the menu. Middle Eastern.
- La Famiglia Ristorante: 6 paleo-friendly dishes on the menu. Italian.
- Panorama: 6 paleo-friendly dishes on the menu. Italian.
- Las Bugambilias: 5 paleo-friendly dishes on the menu. Mexican.
- Bloomsday Cafe: 3 paleo-friendly dishes on the menu. American.
- Almost Home General: 3 paleo-friendly dishes on the menu. American.
- Yards Brewing Company · rated 5/5: 1 paleo-friendly dish on the menu. American.
- Marsha's South Street · rated 5/5: 1 paleo-friendly dish on the menu. American.
- The Plough & the Stars · rated 3/5: 1 paleo-friendly dish on the menu. American.
- Silk City: 2 paleo-friendly dishes on the menu. American.
- Fork: 2 paleo-friendly dishes on the menu. American.
- Moshulu: 2 paleo-friendly dishes on the menu. Seafood.
- Fringe Bar: 1 paleo-friendly dish on the menu. American.
- Race Street Cafe: 1 paleo-friendly dish on the menu. American.
- Eggcellent Cafe: 1 paleo-friendly dish on the menu. American.
- Oishii: 1 paleo-friendly dish on the menu. Japanese.
- Torchwood Cafe: 1 paleo-friendly dish on the menu. American.
- Amada: 1 paleo-friendly dish on the menu. Spanish.
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.
















