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Best Contemporary Italian Restaurants in Presidio Heights

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17 restaurants available nearby

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A photo of Beretta Divisadero restaurant
1. Beretta Divisadero
4.5
Awesome(152)
$$$$
• Contemporary italian • North Panhandle / USF
Booked 19 times today
Beretta Divisadero is a must-visit destination for cocktail enthusiasts in San Francisco's vibrant NoPa neighborhood. Renowned for its exceptional Cocktail Bar, patrons rave about the "great cocktails and talented bartenders" that elevate every visit. The bar's diverse selection of mixed drinks, available at good prices, has left many guests impressed with its creativity and quality. Whether you're meeting friends for a fun night out or enjoying a happy hour, Beretta’s vibrant atmosphere and delightful cocktails are sure to impress. With glowing reviews highlighting "awesome drinks" and a "wonderful happy hour," Beretta Divisadero promises an unforgettable cocktail experience.
A photo of La Connessa restaurant
2. La Connessa
4.7
Exceptional(619)
$$$$
• Contemporary italian • Potrero Hill
Booked 44 times today
La Connessa is a modern Italian trattoria in San Francisco’s Potrero Hill that brings together bold design, vibrant energy, and a contemporary approach to Italian dining.The space is striking yet welcoming, defined by a slate blue and gold palette, an expansive illuminated bar, and refined art deco-inspired details. High ceilings and layered lighting create an elevated atmosphere that feels equally suited for celebratory evenings and casual meals.The menu highlights Italian cuisine through a modern California lens, using carefully sourced, seasonal ingredients. Piping hot pizzas arrive blistered and crisp, while house-made pastas, bistecca, and local seafood reflect a balance of tradition and innovation. Each dish is crafted to feel familiar yet thoughtfully reimagined, with a focus on simplicity, quality, and depth of flavor.La Connessa is a neighborhood gathering place where design, hospitality, and food come together in a confident, contemporary expression of Italian dining.
A photo of Jackson Fillmore Trattoria restaurant
3. Jackson Fillmore Trattoria
4.6
Exceptional(1318)
$$$$
• Contemporary italian • Pacific Heights
Booked 3 times today
Jackson Fillmore Trattoria is a local favorite for a casual, neighborhood meal. Jack has been cooking up great Roman and Southern Italian food at Jackson Fillmore since 1985. We have a small dining room to accomodate reservations for parties of 3 or more and a dining counter for parties of 2 or those who just drop by. Our wine list is primarily Italian, representing all of the great regions in Italy. Our Bombolotti Sugo de Carne, Carpaccio di Zucchini and Tiramisu are legendary. Check out our website to view samples of the menu and wine list, or for more information about us.
A photo of Bocconcino restaurant
4. Bocconcino
4.7
Exceptional(260)
$$$$
• Contemporary italian • North Beach
Booked 9 times today
Bocconcino in North Beach, San Francisco, offers an exquisite taste of Contemporary Italian cuisine, where traditional flavors meet modern creativity. Guests rave about its "authentic and well-made Italian cuisine" and appreciate the inviting atmosphere that feels like dining in a friend's home. With standout dishes like the "fantastic gnocchi, like little clouds," and perfectly crafted homemade ravioli, every meal promises culinary delight. The restaurant's attentive staff, led by the charming owner Rosario, ensures an unforgettable dining experience. Bocconcino’s commitment to quality, from handmade pastas to a thoughtfully curated wine list, makes it a must-visit for anyone craving exceptional Italian fare.
A photo of Back to Back restaurant
5. Back to Back
4.7
Exceptional(199)
$$$$
• Contemporary italian • Nob Hill
Booked 37 times today
Back to Back in Nob Hill, San Francisco, is a standout destination for Contemporary Italian cuisine, artfully blending Italian and Californian flavors. Known for its "incredibly tasty and balanced" wood-fired pizzas, which are among the best in the city, this vibrant eatery brings authentic Italian tastes with a modern twist. Diners rave about the "phenomenal food" and "amazing" shared plates, perfect for both intimate dinners and lively group gatherings. The curated selection of natural wines and creative cocktails enhances the culinary experience, while the ambiance, complete with a live DJ spinning vinyl, makes it a must-visit spot for both locals and visitors.
A photo of Clementina restaurant
6. Clementina
4.4
Awesome(101)
$$$$
• Contemporary italian • Richmond District
Booked 27 times today
Clementina is a neighborhood Italian restaurant created by the Montesacro family - inspired by their family’s journey with celiac disease and years of rethinking how Italian food can be made with care and intention. What began as a personal exploration at home evolved into a deeper culinary practice, where the team piloted techniques, ingredients, and kitchen protocols to reimagine Italian cuisine without losing its soul. Clementina celebrates regional Italian flavors made with thoughtful technique, high-quality ingredients, and a deep respect for tradition. Designed as a welcoming space for families, friends, and the community, Clementina offers a trusted dining experience where guests can gather and enjoy Italian cuisine without boundaries.
A photo of Tratto - San Francisco restaurant
7. Tratto - San Francisco
4.3
Awesome(928)
$$$$
• Contemporary italian • Downtown / Union Square
Booked 5 times today
A spirited, bar-driven restaurant serving rustic Italian fare with modern sensibilities, Tratto takes its name from the Italian word for “stroke,” a nod to the neighborhood’s artistic roots and The Marker Hotel next door.The menu features simple, flavorful, shareable dishes paired with a lively, communal dining experience inspired by Italy’s aperitivo tradition. Guests can enjoy playful twists on classic Italian cocktails, boozy sodas, and a curated selection of beer and wine from California and Italy—including house wine on tap. Join us for our new spring menu with Tratto's take on traditional classics. From antipasti and house-made pastas to pizzas, family-style entrées, seasonal sides, and classic desserts, Tratto offers something for every occasion.Stopping by for a quick bite or after work drink? Aperitivo Hour delivers expertly crafted cocktails, premium wines, and elevated small plates in a warm, stylish setting. Offered Daily from 4-6PM.
A photo of Bosco restaurant
8. Bosco
4.5
Awesome(74)
$$$$
• Contemporary italian • SOMA
Booked 4 times today
Bosco, which means “woods” or “forest” in Italian, is the newest restaurant from The Absinthe Group. A glowing wood-fired hearth anchors the open kitchen, where the culinary team, led by chefs Ryan McIlwraith and Kaili Hill, prepares roasted meats and vegetables, handmade pastas, and house-baked breads. A selection of vibrant full-proof and N/A cocktails from rising star bartender Ammiel Holder and fine wines from The Absinthe Group's beverage director, Michael Goss, round out the experience, offered in a warm setting that feels at once transportive and distinctly San Francisco.
A photo of Luisa's Restaurant Wine bar since 1959 restaurant
9. Luisa's Restaurant Wine bar since 1959
4.3
Awesome(333)
$$$$
• Contemporary italian • North Beach
Booked 4 times today
Luisa's Restaurant Wine Bar, nestled in San Francisco's charming North Beach neighborhood, offers an unparalleled Contemporary Italian dining experience. Known for "the most authentic Italian food in San Francisco," Luisa's combines family recipes with innovative twists to create a menu featuring handmade pastas, thin-crust pizzas, and exquisite gnocchi. Diners rave about the "incredible food and phenomenal service," while the cozy, Italian-style ambiance adds to the charm. With standout dishes like Pollo Piamontese and Cannelloni with vodka sauce, Luisa's ensures every meal feels both special and familiar. Experience "one of the best Italian restaurants" that leaves you eager to return.
A photo of Barberio Osteria restaurant
10. Barberio Osteria
4.7
Exceptional(83)
$$$$
• Contemporary italian • Mission District
Booked 4 times today
Nestled in the vibrant Valencia corridor, we are more than just a restaurant. We are a labor of love by a tight-knit team – meet our visionaries: Nick Kelly, the Executive Chef, whose culinary expertise brings the flavors of Italy to life with every dish; Saul Magana, the General Manager/Sommelier, orchestrating seamless dining experiences with a personal touch; as well curating an exquisite selection on the wine list to complement every bite.​At Barberio Osteria, our ethos is simple yet profound: to create an ambiance where every visit feels like a celebration. Whether it's a joyous milestone or a casual Monday evening craving, our doors are open wide, inviting you to savor the essence of Italian hospitality. Picture yourself unwinding with a perfectly al dente pasta and a glass of fine wine, enveloped in an atmosphere that effortlessly balances elegance with familiarity.
‘About the restaurant’ descriptions have been generated using an artificial intelligence model comprised of OpenTable proprietary data that has not been independently verified by OpenTable. The content is presented as-is, for informational purposes only.

See what locals rave about

From verified diners like you
From verified diners like you
  • heidiGold
    San Francisco Bay Area •20 reviews
    5.0
    Dined 4 days ago
    Everything is delightful about this restaurant - from the food and drinks to the people and vibe, it hits all of the right tones. I highly recommend the beet salad and whole roasted branzino! Truly wonderful to enjoy the evening so thoroughly.
    More info
    Clementina$$$$• Italian• Richmond District
    •
    4.4
  • David
    Utah •1 review
    5.0
    Dined 6 days ago
    Excellent little Italian restaurant. Loved it and would definitely recommend to anyone wanting more authentic Italian food in the area. It’s a small restaurant so definitely get reservations ahead of time.
    More info
    Bocconcino$$$$• Italian• North Beach
    •
    4.7
  • Patrick
    San Francisco Bay Area •1 review
    5.0
    Dined on 29 May 2026
    I had the absolute best dinner here. The staff were amazing. The food came out so fast. And they didn’t rush us out. It was an all around great dinner. I would absolutely come again. Hits every time. 5 stars.
    More info
    Back to Back$$$$• Pizzeria• Nob Hill
    •
    4.7
  • Biba
    London •1 review
    5.0
    Dined on 29 May 2026
    Fanatastic food - absolutely delicious, beautifully presented, fresh, colourful and wonderful combination and flavours. Best meal we had in our visit to San Francisco. Lovely environment too and great authentic service - the waiting team you can tel care about the restaurant and the food.
    More info
    Tratto - San Francisco$$$$• Italian• Downtown / Union Square
    •
    4.3
  • Tim
    San Francisco Bay Area •17 reviews
    5.0
    Dined on 17 May 2026
    Always the best. Staff, service, food. The greatest
    More info
    Jackson Fillmore Trattoria$$$$• Italian• Pacific Heights
    •
    4.6

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