The 5 Best Italian Restaurants (Not Cheap) in St. Louis

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       Fettuccine-Gulf Shrimp is served with fresh pasta, olives, capers, basil, chiles and tomato. | Jennifer        Silverberg

Mad Tomato
(8000 Carondelet, Clayton; 314-932-5733)

Chef Vito Racanelli Jr. just keeps getting better and better. First Big V's, then Onesto, and now, the great Mad Tomato. It's rustic, but still upscale -- entrees are served in cast iron skillets. There are also delicious Neapolitan-style pizzas and antipasti that shouldn't be ignored. Our favorite is the "Hunter's Egg," an egg poached in tomato broth over polenta. Or go ahead and get a whole rack of lamb, if that's what you're feeling. Either way, you'll leave full and satisfied.


Location Info

Acero Ristorante

7266 Manchester Road, Maplewood, MO

Category: Restaurant

Giovanni's

5201 Shaw Ave., St. Louis, MO

Category: Restaurant

Mad Tomato

8000 Carondelet, Clayton, MO

Category: Restaurant

Lorenzo's Trattoria

1933 Edwards St., St. Louis, MO

Category: Restaurant

I Fratellini

7624 Wydown Blvd., Clayton, MO

Category: Restaurant

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18 comments
kcamp10158
kcamp10158

Anyone remember a itailian restaurant in the late 70's early 80's on Dorsett road ? very old world.

marko1970
marko1970

The list is flawed, it left out most of the better places, such as Pasteria, Napoli 2, Basso, etc...

robert_vincenc
robert_vincenc

Tony's, the only 5 star, 5 diamond restaurant in St. Louis...doesn't even get mentioned. Don't forget Trattoria Marcella. They are NOT as expensive but their food is AWESOME!!! Not a bad dish on the menu. 

Lynn Jones
Lynn Jones

any place on the hill is over rated and seems like pasta house to me

Lynn Jones
Lynn Jones

Brazie's should have made the list

Bonnie Stroup Basler
Bonnie Stroup Basler

i am sad to not see Frank Papa's on this list...always always always fantastic food and experience

Anthony Panozzo
Anthony Panozzo

How is Pastaria by Niche not on there? That place blows every one of these outta the water

Josh Revelle
Josh Revelle

Anthonino's on the hill is the gold standard for me.

Aaron McCoy
Aaron McCoy

I've never been to an Italian restaurant that wasn't overrated

Michael Coleman
Michael Coleman

Replace Lorenzo's (very good) with Dominic's on The Hill (better than Giovanni's for my $), and this list is spot on.

Deb Woods
Deb Woods

Brazies is THE BEST. So much of The Hill is overcooked noodles smothered in sloppy red sauce. Brazies is everything great about Italian food with none of the pretense & with a semi-affordable price tag.

Tim Stewart
Tim Stewart

Giovanni's, awesome atmosphere and great food.

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