Roma's Pizza

121 E Bethalto Dr, Bethalto
(618) 377-5800

Recent Reviews Order Online

Customers' Favorites

Sausage Pizza in Front Pepperoni Pizza in Back
Pepperoni and Italian Sausage Pizza
Baked Tortellini in Pink Sauce
House Salad with Cheese
Mini Pizza with Cheese
Tony's Special Pizza
Roma's Special Pizza
Roma Special Medium
Garlic Cheese Bread
Meat Lover's Pizza

Menu

Weekend Specials
Breakfast Pizza

Appetizers
Bosco Sticks with Meat Sauce
Golden-brown, crispy on the outside and soft on the inside, Roma's Bosco sticks are the perfect blend of fresh bread and melted mozzarella cheese, sprinkled with herbs and served with a side of savory meat sauce.
Garlic Cheese Bread
Indulge in the mouthwatering combination of freshly baked bread, savory Italian herbs and Garlic and gooey melted mozzarella cheese with our delicious garlic cheese bread.
Cheese Curds
A full order of mouthwatering Wisconsin Cheese Curds and is served with a side of marinara sauce. Come try them for lunch or dinner! Comes with a side of marinara sauce.
Side of Sauce
Our savory meat sauce is the perfect addition to any pasta dish- rich, flavorful, and sure to satisfy.
Toasted Ravioli with Side of Meat Sauce
Savor the crispy goodness of golden toasted ravioli, served with savory meat sauce as a meal or an appetizer.
Garlic Bread
Indulge in our freshly baked garlic bread, brushed with Italian herb-infused butter and baked to perfection.
Meatball (1)
Try our flavorful, tender, and mouthwatering meatballs. with any pasta dish, sub sandwich, or appetizer platter.
Chicken Wings
Chicken wings are a popular appetizer featuring crispy, juicy meat that's perfect for snacking. Pair your favorite flavor with an exceptional dipping sauce!
Meatballs with Cheese (4)
Our meatballs just got even better, now topped with delicious melty cheese. Add to any any pasta dish, sub sandwich, or appetizer platter.

Salads
Frank's Salad
Indulge in the flavors of a small Frank's salad bursting with crisp lettuce, savory meats, tangy cheese, juicy tomatoes, and zesty onions all topped off with crispy bacon, pepperoni, black olives and your favorite dressing.
House Salad
Enjoy a refreshing blend of crisp iceberg lettuce, savory cheese, juicy tomato, and flavorful black olives topped with your favorite dressing in our small house salad.

Pastas
Lasagna
Layered with tender noodles, rich meat sauce, and creamy cheese our classic lasagna is a comfort food favorite topped with Mozzarella cheese that is sure to satisfy.
Cannelloni
Stuffed with meat, our iconic recipe for a classic cannelloni is baked to perfection and covered in a savory tomato sauce. Why not add Alfredo sauce instead for that authentic Italian flair!
Baked Spaghetti
A Roma's Classic: The Baked Spaghetti highlights our savory meat sauce, juicy meatballs packed with flavor, and baked-to-perfect gooey Mozzarella cheese all over steaming spaghetti noodles, sure to leave you satisfied.
Baked Mostaccioli
Indulge in our mouth-watering Mostaccioli pasta, served with our homemade rich and savory meat sauce covered with baked-to-perfection Mozzarella cheese that will have you savoring every last bite.
Spaghetti
Indulge in the delicious taste of Italy with every forkful of perfectly cooked spaghetti fresh and smothered in our savory meat sauce.
Tortellini
Try a taste of Roma's flavor-packed, meat-filled tortellini plated with our classic meat sauce sure to satisfy.
Mostaccioli
Indulge in our mouth-watering Mostaccioli pasta, served with our famous homemade rich and savory meat sauce that will have you savoring every last bite.
Ravioli
Baked Tortellini
Our delicious Baked Tortellini is an explosion of flavor with meat-filled tortellini smothered in our classic meat sauce and then baked with Mozzarella cheese to ooey-gooey perfection.
Baked Ravioli
Savor a classic recipie of flavorful, meat-filled ravioli covered in our savory meat sauce and baked to perfection with Mozzarella cheese

Sandwiches
9" Roma's Special Sandwich
Satisfy your cravings with this mouthwatering Roma's Special sandwich, featuring premium Ham and Salami slices stacked on melting mozzarella cheese, topped with fresh crisp iceberg lettuce, juicy tomato and smothered in creamy mayonnaise.
9" Meatball Sandwich
Try our delicious Meatball Sandwich, packed with four succulent meatballs, coated in savory meat sauce and topped with perfected toasted melted mozzarella cheese.

Pizza
Build Your Own Pizza
Build your own Roma's pizza in any size with any toppings! Make it your way with Roma's! Pricing will vary based on options chosen.
Roma's Special Pizza
Indulge in our Roma's Special Pizza, loaded with delicious mozzarella cheese, juicy sausage, ham and pepperoni, along with fresh mushrooms, green peppers, and onions served hot and fresh.
Tony's Special Pizza
Indulge in the savory flavors of our Tony's Special, loaded with mozzarella cheese, juicy sausage, crispy pepperoni, smoky bacon, spicy jalepenos, and sweet onions.
All Meat Pizza
Satisfy all your cravings with an All Meat Pizza, a heavenly combination of gooey mozzarella cheese draped over a scrumptious blend of sausage, hamburger, Canadian bacon, ham and pepperoni.
Cheese Pizza
Indulge in the ooey-gooey deliciousness of our Cheese Pizza, baked to perfection with fresh mozzarella and a crispy golden crust!
Veggie Pizza
Our delicious veggie pizza is topped with savory mozzarella cheese, black and green olives, succulent onions, flavorful mushrooms, and a sprinkling of garlic powder on a bed of fresh tomato sauce.
Buffalo Chicken Pizza
A large delicious and spicy Buffalo Chicken Pizza can settle any craving some a special time! Includes a side of ranch or blue cheese or your choice.
Taco Pizza
Get your taste buds in the dancing mood with our delicious Taco Pizza! Comes with 2 packs of sour cream.

Beverages
Soft Drinks
Quench your thirst with a refreshing child size Gatorade fruit punch, bursting with fruity flavors that perfectly complement your favorite Italian dish.

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Recent Reviews

The pizza was really good. We all got salads which were pricey and nothing special. Two people in the party also got pasta dishes. The pasta was pretty good although I think the manicotti had been frozen but the garlic bread that we paid extra for was pretty bad. The bread tasted old and only had a small amount of butter on it.
I would recommend if you go stick to the pizza!
September 2025
This is the best Pizza! Bethalto - no problem. Madison County - easy. St Louis Metro - hands down! It’s the best version of St. Louis the Sicilian way. I believe she makes the sauce fresh daily. Every time my family and I come home, this place is always on the agenda. It brings our whole family together! May Romas live on for even more generations to come.

Needless to say - I love this place…. And 🍕!
August 2025
If your looking for Sicilian style pizza, this is it. Family owned with family recipes. Hamburger mushroom pizza is the best along with the pink sauce pasta. Call ahead or pickup is best for fast hot pizza. Atmosphere is always busy, plenty of tables and booths to accommodate handicapped persons.
July 2025

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Roma's Pizza

121 E Bethalto Dr, Bethalto, IL 62010
(618) 377-5800