Looking for keto-friendly restaurants? Our top picks are Festa Wine & Cocktail Lounge, Morella and Bistro Aix, ranked by diner ratings among restaurants whose current menus carry keto-tagged dishes. The full list below updates as menus change.
Discover the top 4 upscale dining experiences
Discover upscale restaurants in Pacific Heights with keto options. Budget-friendly keto dining.
Pacific Heights's Upscale Keto Destinations
Pacific Heights offers a sophisticated backdrop for health-conscious diners seeking elevated low-carb experiences that never compromise on flavor or style. This curated selection highlights the neighborhood's premier upscale keto-friendly spots, ranging from the refined American fare at State Bird Provisions and Progress to the elegant Italian atmosphere of Festa Wine & Cocktail Lounge. Whether you are looking for innovative small plates or a classic cocktail pairing, these establishments provide a seamless blend of luxury and dietary mindfulness in one of San Francisco's most iconic districts.
27 restaurants in Best Upscale Keto Restaurants in Pacific Heights | Upscale & Keto
- Festa Wine & Cocktail Lounge · rated 5/5: 4 keto-friendly dishes on the menu. Italian.
- Morella · rated 4/5: 3 keto-friendly dishes on the menu. Italian.
- Bistro Aix · rated 4/5: 3 keto-friendly dishes on the menu. French.
- Home Plate · rated 4/5: 3 keto-friendly dishes on the menu. American.
- Mel's Drive-in · rated 3/5: 7 keto-friendly dishes on the menu. American.
- Zushi Puzzle: 11 keto-friendly dishes on the menu. Japanese.
- Rooster & Rice: 5 keto-friendly dishes on the menu. Thai.
- Indigo: 4 keto-friendly dishes on the menu. Indian.
- The Brazen Head: 4 keto-friendly dishes on the menu. American.
- Perry's: 3 keto-friendly dishes on the menu. Steakhouse.
- Jane the Bakery · rated 5/5: 1 keto-friendly dish on the menu. American.
- Lucca Delicatessen · rated 4/5: 1 keto-friendly dish on the menu. Italian.
- California Wine Merchant · rated 3/5: 1 keto-friendly dish on the menu. American.
- Harry's Bar · rated 3/5: 1 keto-friendly dish on the menu. Italian.
- A16: 2 keto-friendly dishes on the menu. Italian.
- Sheba Piano Lounge: 2 keto-friendly dishes on the menu. Ethiopian.
- Tacobar: 2 keto-friendly dishes on the menu. Mexican.
- Wildseed: 2 keto-friendly dishes on the menu. Mediterranean.
- Opa Cafe: 2 keto-friendly dishes on the menu. Greek.
- Screen Savor: 1 keto-friendly dish on the menu. American.
- Pa'ina: 1 keto-friendly dish on the menu. Japanese.
- Scopo Divino: 1 keto-friendly dish on the menu. Italian.
- State Bird Provisions: 1 keto-friendly dish on the menu. American.
- Progress: 1 keto-friendly dish on the menu. American.
- Boba Guys: 1 keto-friendly dish on the menu. Chinese.
- BANGKOK STREET Thai Street Food: 1 keto-friendly dish on the menu. Thai.
- Ilcha: 1 keto-friendly dish on the menu. Korean.
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.
