The Best Italian Food in St. Louis
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The best Italian food in St. Louis, according to the experts: AAA, St. Louis Magazine, and the James Beard Awards have all weighed in, and their honors are what rank this list. Pastaria comes out on top, and the good stuff runs deepest in Saint Louis and Saint Charles.
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Madrina and Scout’s Restaurant hold the next two places. AAA shows up on more of this list than any other guide, with St. Louis Magazine next.
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Rank 1. Pastaria
Italian
The awards
- AAA AAA: Approved
- St. Louis Magazine St. Louis Magazine: Best restaurants in St. Louis
- James Beard Awards James Beard Awards: 2025 · Semifinalist · Outstanding Restaurateur · Gerard Craft - Niche Food Group
- AAA Approved
- St. Louis Magazine Best restaurants in St. Louis
- James Beard Awards 2025 · Semifinalist · Outstanding Restaurateur · Gerard Craft - Niche Food Group
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Rank 2. Madrina
Italian
The awards
- St. Louis Magazine Best restaurants in St. Louis
- James Beard Awards 2025 · Semifinalist · Outstanding Professional in Beverage Service · Alisha Blackwell-Calvert
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Rank 2. Scout’s Restaurant
Italian
The dinner-party vibe is not an accident: Scout's grew out of an apartment pop-up, and the casual energy, upbeat music, and focused menu still read that way. Both chefs came up through fine dining around St. Louis, and the cooking shows it without announcing it. Vegetables get the same attention as the pasta, and the menu stays short enough that everything on it clearly earned its spot.
The awards
- Eater The 38 Best Restaurants in St. Louis, Missouri
- The Infatuation The Best Restaurants in St. Louis
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Rank 2. The Crossing
French-Italian
The awards
- AAA AAA: Three Diamonds
- St. Louis Magazine St. Louis Magazine: Best restaurants in St. Louis
- St. Louis Magazine St. Louis Magazine: The best burgers in St. Louis
- AAA Three Diamonds
- St. Louis Magazine Best restaurants in St. Louis
- St. Louis Magazine The best burgers in St. Louis
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Rank 5. Charlie Gitto’s
Italian
The awards
- AAA AAA: Three Diamonds
- St. Louis Magazine St. Louis Magazine: Best restaurants in St. Louis
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Rank 6. Café Napoli
Italian
The awards
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Rank 6. Dominic's on the Hill
Italian
The awards
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The awards
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Rank 6. Napoli 3
Italian
The awards