Italian Restaurants in Sacramento (2025)
Allora
Italian restaurant · East Sacramento
Modern, seafood‑leaning Cal‑Italian from owners Deneb Williams and Elizabeth‑Rose Mandalou. Recognized by the Michelin Guide and celebrated for its Italian‑focused cellar, it’s an East Sac date‑night hallmark with tasting menus and seasonal pasta.
The Waterboy
New American restaurant · Newton Booth
Rick Mahan’s Midtown landmark blends Northern Italian and Provençal ideas with Sacramento’s farm‑to‑fork ethos. Praised by respected critics, it’s a polished neighborhood room for risotti, house pastas, and a thoughtful wine list.
Cacio
Italian restaurant · Sacramento
Pocket neighborhood trattoria from industry vets Jonathan Kerksieck and Katie Kinner‑Kerksieck. Frequently covered by the Sacramento Bee, it draws devotees for Roman‑leaning pastas, a savvy wine list, and an intimate dining room.
Adamo's Restaurant
Italian restaurant · Newton Booth
Family‑run pasta house where the Adamos roll fresh dough daily and pour wines from their Italian family vineyards. Profiled by Inside Sacramento and noted by local critics, it’s a warm Midtown standby.
Masullo
Pizza restaurant · Richmond Grove
Robert Masullo’s wood‑fired pies show long‑fermented dough and restrained toppings. Lauded by local magazines and critics, it’s Land Park’s go‑to for Neapolitan‑style pizza and a true neighborhood feel.
OneSpeed
Pizza restaurant · East Sacramento
Chef Rick Mahan’s East Sac pizzeria remains a community favorite; the Sacramento Bee chronicled its staying power. Seasonal antipasti, distinctive pies, and a lively, bike‑loving vibe define the experience.
La Trattoria Bohemia
Czech restaurant · East Sacramento
A long‑running East Sac original marrying Italian and Czech comfort food. Beloved by locals and noted in regional writeups, it pairs potato pancakes and schnitzel with house pastas and Roman‑style pizzas.
Anthony's Italian Cuisine
Italian restaurant · South Natomas
South Natomas stalwart for red‑sauce classics, generous plates, and friendly service. Its longevity and steady crowds are reflected in recent reviews and its own operating updates.
Ippolito's Trattoria
Italian restaurant · Rosemont
Family‑owned Rosemont trattoria earning Sacramento Bee praise as the region’s most underrated Italian restaurant. Housemade pastas and heartfelt hospitality anchor its growing local following.
Mamma Susanna's Ristorante Italiano
Italian restaurant · Elvas
River Park’s old‑world charmer serves Northern Italian standards—think veal marsala, risotti, and pizzas—in a welcoming, reservation‑friendly setting. A local favorite for classic fare.
Sampino’s Kitchen at Joe Marty’s
Restaurant · Richmond Grove
Dinner‑only Italian‑American plates from the Sampino deli family inside the historic Joe Marty’s space. Highlighted by the Sacramento Bee for pesto gnocchi and classics; reservations advised on weekends.
Mattone Ristorante
Italian restaurant · Fairgrounds
East Sac fine‑dining project from Biba alumni, covered by the Sacramento Bee. Expect ravioletti, towering lasagna, and seasonal mains—an elegant nod to a beloved local legacy, now its own destination.