50 Best Italian Restaurants near Larkspur

“Service was excellent. We were out for a birthday lunch and the server overheard us talking about a birthday and delivered a birthday dessert. Nice touch. Food was great, we had the Fritto Misto, Branzino, Fried Chicken Sando, and French Toasts. All delicious. The Negroni Sbagliatto was also great!“

“"5/5 stars! Picco is hands down the best Italian spot in town! The pasta dishes are cooked to perfection, and the pizzas are crispy and flavorful. The service is top-notch, with friendly and attentive staff. Cozy atmosphere and great prices. Highly recommend the Devinci pizza and Brownie for dessert. We'll be back!"“

“I had the ultimate pizza experience here. I was having a HORRIBLE day at work and all I wanted was a pepperoni pizza after I got off. Jack helped me and he made my day turn around in an instant. He was kind, made me laugh and was very polite. Pizza was 10/10 and service was incredible. I recommend to everyone!!!!!“

“Amazing service and food!!!!“

“Wow, what a great restaurant. As soon as we walked in we were greeted kindly by the hostess. She was so sweet and even checked in on us during dinner. Our server Joselyn was very helpful and attentive. She helped steer us in the right direction of what to order since everything on the menu looked delicious. The food was outstanding. The portions aren't super big but perfect which allowed us to order a few entrees. We started with the pan seared brussel sprouts, stuffed calamari, & roasted baby carrots. We then ordered the ricotta strangulet, pumpkin caramelle, braised short rib cappellacci, and the drunken mafaldine. Wow, everything was truly amazing and cooked to perfection. We didn't have room for dessert but our bill came with a tiny assortment of cookies which was the perfect way to end our meal. Thank you Sorrella, we will definitely be back to enjoy your amazing cuisine.“

“Great leisurely lunch with girlfriends. Staff was friendly attentive. The butternut squash ravioli was to die for! Nice ambiance (we sat outside). Enjoyed!“

“Excellent service and great food!“

“Amazing service and food!!!!“

“I’m here for business from Canada. Was taken here for supper by a coworker. The quaintest little restaurant, the owner and his wife are just awesome. The food is gorgeous! And his limoncello is the best I’ve ever had. Will be going back before I head home. ❤️❤️❤️“

“Excellent food and service. My friends from NYC enjoyed their dinners as well. Will definitely be back!“

“It was our first time and the service was amazing. Our dinner was more than excellent, the grilled pork chops with sweet potato puree best ever tasted. Great selection in red wine and great atmosphere! Owners were there and were very welcoming and down to earth! 100% recommended“

“My favorite thing here is the linguine with mussels. I never order anything else, so I can't really comment on the rest of the menu. My husband had the burger, which he thought was fine, and the couple behind us had the skirt steak which he wished he'd ordered. Wine and beer list is great.“

“One of the most underrated restaurants in SF. Samuel took great care of us. We got the Rigatoni Vodka, pasta of the house and the Tagliatelle Bolognese, which were all awesome. The Caesar salad might be the best we’ve ever had. Oh and they had live music. Great meal, special restaurant. Will come back again and again!“

“Had a luncheon @ Perbacco with my 9 coworkers and Manager to say “goodbye & farewell” to a retiring coworker and “welcome” to a new coworker. Started with a round of hors d'oeuvre’s. The thin sliced veal with a sauce and capers was delicious! The fried shrimp, veggies and olives/anchovies…also with a sauce was awesome as well. For my main, I had CRESTE DI GALLO - semolina pasta - wild mushroom ragu - spinach - ricotta salata. Our waiter was the best! I saved one of the sugar cookies from my deserts…Burnt Carmel Gelato. Mentioned it to our waiter and as we were leaving, I heard “Sir! Sir!” He brought me one of their meringue cookies to also share with my partner! I thought that was just awesome! Top notch food and customer service. We’ll be back!“

“(Make a reservation)
We arrived at Capo’s around 7:20 pm on a Saturday and were told we would have to wait 40 minutes for a table.
As hungry travelers, we said thank you and as we were about to leave, the hostess finds a nook and sat us down outside. I appreciate the fact that she did us that favor.
There were no patio heaters, so if sitting outside or walking in during busy hours, expect to dine outside in the cold with no heat (during winter).

(The Staff)
It was a very busy night, but the staff did a spectacular job in checking in on us.

(The Food)
The appetizers come in a reasonably sized portion, we ordered the garlic bread with mozzarella and was given a complimentary dish of olive oil and balsamic vinegar.
My partner ordered the meat lasagne and I ordered the rigatoni alla vodka with smoked pancetta. The food was really good, it’s unlike anything I have ever had.
Take in mind that the dishes do serve up to 2 people, on busy nights it make take a bit to get your food, and regular pizzas take up to 20 minutes to bake, deep dish pizzas take up to 45 minutes to bake (but they look like they are worth the time!)

(Conclusion)
I would have loved to sit inside, the vibe is really nice. If you are looking for authentic Italian food with a nice atmosphere and friendly staff, book a reservation at Capo’s.“

“Lovely friendly Italian wine bar and delicious restaurant. Fresh innovative salads, pastas and main courses. Highly recommended.“

“The best Italian I’ve ever had. Great service great drinks as well.“

“Awesome food and outstanding service“

“A wonderful first time experience at Luna Blu with my sisterfriend Betty on Wednesday, June 29th. Excellent, friendly service by Chrissie and she was kind enough to make suggestions since I am a Vegan. THANK YOU Chrissie. The owner took a moment to come to our table and we expressed our satisfaction and delight with her. Plan to visit again. Smiles from Baltimore.“

“Great Service and food. The waiter was amazing and recommended great wine and food“

“Food is incredible and the service is second to none. Best place in the marina.“

“The food and wine are fantastic!“

“Fresh, delicious. Some of the best brown butter & sage sauce I’ve had in a while.“

“This place was one of the best highlights of our trip!! Real Italian food. The owners were real gentlemen. The way that they worked that restaurant was amazing. I was amazed by their food and service, both authentic. My friend and I had the best time. We would go again and again!“

“While visiting San Francisco for work, I had the pleasure of dining at Cafe Tiramisu, and it quickly became a highlight of my trip! From the moment I walked in, the staff was incredibly welcoming – Giuseppe and Christian went above and beyond to make me feel right at home. Christian, my server, recommended the lobster escargot, and I have to say, it’s one of the best dishes I’ve ever had! The Spaghetti Nero with house-made pasta and local seafood was equally outstanding. This family-owned restaurant prides itself on creating as much as possible in-house, and it truly shows in the quality and freshness of the food. As the name would suggest, the tiramisu was also top notch. The ambiance is warm and inviting, with both cozy indoor and charming outdoor seating. Whether you're looking for an intimate meal or a great spot to relax after a long day, Cafe Tiramisu is a must-visit. You won’t be disappointed! I will absolutely return anytime I’m in San Francisco.“

“Best pizza in the Bay Area - Hands down - not even a contest. For not just me and my family but so many visitors I’ve taken to them. Oh - and the Cambrian chillies!!

Don’t overthink it - just go and you’ll be glad you did.“

“Kicking off the New Year with a meal at Serafina, perched atop Russian Hill, feels like coming home. This beloved neighborhood gem is where familiar faces gather and every dish is crafted with care. Known for its exceptional homemade pasta and decadent, house-made desserts, Serafina radiates a warmth you want to share with friends visiting from out of town. The journey up to Russian Hill—300 feet of San Francisco’s classic charm—only adds to the only in San Francisco experience. PS: One of the best gnocchi I've had outside NYC.“

“The food was amazing, home cooking at its best! My whole family, including my picky eaters, loved the food!😋“

“Very nice portions and very friendly! Enjoyed the people and the food!“

“I love this restaurant. Many years ago I was in Florence and had the best meal of my life at a tiny restaurant I randomly passed by - it was a gnocchi dish with a gorgonzola cream sauce topped with chopped fresh arugula. I never order gnocchi and really never order anything with cream sauce but MAN that was memorable. When I saw this on the menu at Bocconcino (sans arugula, sadly) I had to try it and it brought me right back to that meal in Florence. So. Good. My daughter orders the spaghetti with marinara at Bocconcino. And even something as simple as that is totally to die for there. Great environment and friendly staff too. Both times we ate here we arrived very early for a reservation and they were able to seat us right away. Will be returning soon!“

“Hands down one of the best meals we’ve had in a long time. Everything was incredible; the Caesar salad, veal carpaccio, spaghetti and meatballs, manicotti, and that tiramisu to finish it off.

But honestly, what made the night special was Jennifer and her husband. They treated us like family, not customers. You can feel how much heart they put into this place. The food’s amazing, but it’s the warmth and hospitality that make it unforgettable. Can’t wait to come back.“

“Wonderful food and service. Highly recommend!“

“When I can’t sleep, I remember the time I had dinner here and I miss the taste of this place.“

“If you like dark places to enjoy your meal- go! If you like great service- go! If you’re into gnocchi that’s like mamas-go! From start to finish all and all a great meal at a great value. And a very generous bartender/server. Thank you!“

“marvelous! Everything was superb. The brussel sprout salad was delicious. the main courses fantastic. I had the clams they were delicate and perfectly cooked. service was super friendly. prices are very reasonable. I would frequent this place if I lived here. you should go!!“

“Exceptionally helpful & friendly staff cooking superb food in a very chill environment. A must visit in the city.“

“I'm on Columbus street because my old Army pal Joe Schlong needed some help installing a Crystatillian Retarder on a Beachfrat Balifoon he picked up from the Philharmonic, so I offered my help. It required the precision of a surgeon with skinny fingers and the ability to work between heartbeats, and that left me out so I enlisted the help of Mary-Joe Chipinski the retired Bomb Deactivater for the NYPD Bomb Squad who just happened to be in town for this weekend's Large Munitions Trade Show at the Cow Palace.. What luck! The Schlong was so happy he walked the half block over to Il Pillaio Restaurant and brought back some pretty amazing chicken dinners! 5 ☆☆☆☆☆“

“I tried several restaurants in Tiburon. This was definitely the best. So much so that I dined at Servino twice. Delicious food and great service, in particular by Jennifer. Very friendly team which was appreciated by me as a solo traveller.“

“One of the best tasting pizza I’ve tasted I highly recommend this place.“

“Perfect Italian authentic restaurant when enjoying North Beach neighborhood for my friends birthday! I got us tickets to dear San Francisco, which is a wonderful show at Club Fugazi just 3 blocks away from this great restaurant! Paolo took wonderful care of us. His wine, suggestions and appetizer and entrée tips were the best! The pasta is homemade and very delicious and special. We tried the gnocchi with pesto, as well as a delicious braised meat, red sauce over fresh linguine. We also enjoyed the grilled (not fried) octopus. The tiramisu for dessert was perfect! I’ve been here before, and I will go back again and again for the service and authentic delicious Italian cuisine.“

“Came for my birthday dinner and had an amazing experience. Food was delicious, service was excellent! Only con was it was warm inside and we had to wait to be seated for our reservation at 8. However, got a complimentary dessert for my birthday so all was well!! Would come again for sure !!“

“What a great little place, and worthy of a two hour drive, and...I'll tell you why!
Jazzmo Pete and I had spent the whole day out at Bill Halsey's Hangin Balls Ranch separating the Bulls from the Cows and Heffers into their winter pastures, and we were beat, cold and wet from the coastal fog. Jazzmo, an Italian at heart says let's go into town and have a big bowl of pasta and a couple bottles of Chianti, well that was enough for me, so off we went. ...Smelling like old west cowboys I was sure we'd get kicked out of any place we went into, but Jazzmo had a quart bottle of some sort of hipster stuff that'll take the smell off a litter box! And it worked! We went to La Gastronomia di Porchetta Restaurant and had about the best Italian food in the Bay Area!
5 stars and they didn't even try! ☆☆☆☆☆“

“Fresh, delicious. Some of the best brown butter & sage sauce I’ve had in a while.“

“I LOVE this place. Especially the owner, we sang the Beatles together and it was an unforgettable night for me.. Norwegian wood to be exact😉 The food is great, the owner is a lovely person, and the wine is always flowing! Cheers, see you guys again soon“

“A friendly, convivial spot for cocktails, lunch/brunch/dinner, expertly-prepared Italian fare, exceptional service & reasonable prices,“

“Great Italian cuisine on the west coast! Service is top notch!“

“Great place to have a delicious dinner, friendly staff and amazing food.“

“Delicious food! Very unassuming, we were so happy we stopped in, food and service were top notch 🍝“

“Everything on the menu is delicious & the staff is the BEST Our favorite“

“Delicious!! I got the ½ Dungeness crab, and it was juicy, flavorful, just wonderful. And the garlic bagna calda is always amazing.“