Looking for paleo-friendly restaurants? Our top picks are Domingo, Sugartime Shot Bar and Pei Wei, 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 San Antonio restaurants with paleo options. Highly rated spots with authentic paleo menu items.
San Antonio's Premier Paleo Destinations
San Antonio's vibrant culinary scene offers a wealth of delicious choices for diners following a paleo lifestyle, ranging from hearty Texas barbecue to fresh coastal flavors. This curated selection highlights the city's diverse offerings, including authentic Mexican staples at Pete's Tako House and Domingo alongside classic American fare and fresh seafood from spots like The Cove. Whether you are looking for a quick coffee and a grain-free snack or a full sit-down meal featuring Thai, Italian, or Chinese-inspired dishes, these local favorites ensure you never have to compromise on flavor while sticking to your dietary goals.
27 restaurants in Best San Antonio Restaurants with Paleo Options | Top Rated
- Domingo · rated 4/5: 3 paleo-friendly dishes on the menu. Mexican.
- Sugartime Shot Bar · rated 2/5: 37 paleo-friendly dishes on the menu. American.
- Pei Wei: 12 paleo-friendly dishes on the menu. Chinese.
- Golden Chick: 6 paleo-friendly dishes on the menu. American.
- Bill Miller Bar-B-Q: 4 paleo-friendly dishes on the menu. American.
- Train Cafe: 4 paleo-friendly dishes on the menu. American.
- Bill Miller Bar-B-Q: 4 paleo-friendly dishes on the menu. American.
- What's Brewing Coffee Drive Thru: 4 paleo-friendly dishes on the menu. American.
- Joe's Crab Shack: 3 paleo-friendly dishes on the menu. Seafood.
- Long John Silver's: 3 paleo-friendly dishes on the menu. Seafood.
- Thai Lao 78: 3 paleo-friendly dishes on the menu. Thai.
- Freshest · rated 4/5: 2 paleo-friendly dishes on the menu. Seafood.
- Magnolia Pancake Haus · rated 4/5: 1 paleo-friendly dish on the menu. American.
- Pete's Tako House · rated 4/5: 1 paleo-friendly dish on the menu. Mexican.
- Casa Rio: 2 paleo-friendly dishes on the menu. Mexican.
- Anacacho Coffee & Cantina: 2 paleo-friendly dishes on the menu. Mexican.
- Rocky's Taco House #2: 2 paleo-friendly dishes on the menu. Mexican.
- Landry's Seafood House: 2 paleo-friendly dishes on the menu. Seafood.
- Ácenar Hot Mex Cool Bar: 2 paleo-friendly dishes on the menu. Mexican.
- Rainforest Cafe: 2 paleo-friendly dishes on the menu. American.
- Capo's Pizza: 2 paleo-friendly dishes on the menu. Italian.
- Philo Coffee: 1 paleo-friendly dish on the menu. American.
- The Cove: 1 paleo-friendly dish on the menu. Seafood.
- The Station Cafe: 1 paleo-friendly dish on the menu. American.
- Peter Piper Pizza: 1 paleo-friendly dish on the menu. Italian.
- Fuddruckers: 1 paleo-friendly dish on the menu. American.
- Chuck E. Cheese: 1 paleo-friendly dish on the menu. Italian.
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.














