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Diners' Choice: Italian restaurants in Las Vegas

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OpenTable
Updated 05 April 2025

Looking for restaurants with the best overall Italian cuisine in Las Vegas? You’re in the right place. Each month OpenTable analyses more than 400,000 new diner reviews. We sort the results by category to help you discover new favourites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!


A photo of Azzurra Cucina Italiana restaurant
Azzurra Cucina Italiana
4.9
4.9 (625)
$31 to $50
Italian
Henderson
About the restaurant
Newly opened on Henderson’s reimagined Water Street, Azzurra Cucina Italiana offers well-prepared, much loved Italian classics in a boutique space. Owned by local architect and Water Street fixture Windom Kimsey, Azzurra’s culinary team includes local favorite Chef Alessandra Maderia. The power team has ensured that each dish centers around quality ingredients and traditional preparation—bringing Italy to Water Street.
Top review
James
Dined 7 days ago
Delightful experience. Food and service outstanding.
A photo of Ferraro's Ristorante restaurant
Ferraro's Ristorante
4.9
4.9 (5874)
$50 and over
Italian
Paradise
About the restaurant
Las Vegas, known worldwide as the food mecca for the most discerning palates, houses one of the leading upscale fine dining establishments for Italian cuisine, Ferraro's Ristorante. Featuring a chic and modern ambiance, Ferraro's is synonymous with extraordinary service and unforgettable dining experiences. Guests savor flavorful, uncomplicated dishes utilizing only premium ingredients, all-natural meats and seafood, and fresh, hand-made pasta. A recipient of the internationally acclaimed Gambero Rosso award for wine, the venue's extraordinary list is recognized as one of the top Italian wine collections in the world. Headed by Executive Chef Mimmo Ferraro, classic training, ingenuity, and passion for the Italian kitchen bring authenticity and creativity to the menu, carrying on the tradition and history that made Ferraro's an iconic name in the culinary space. Whether joining for happy hour, dinner, or late-night fare, in addition to the classic dishes you can order a la carte, guests may request a guided tasting menu that includes exquisite wine pairings. The meticulous care put into each detail makes this a truly unique place. Open daily with a main dining room, private seating, lounge, and patio options, a memorable culinary adventure awaits.
Top review
Gwenn
Dined 1 day ago
Excellent food with superior service!! Antonio, our waiter gave great recommendations to the amazing menu. We will be back!
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A photo of TIRAMISU of a restaurant
Popular dish
TIRAMISU
A photo of FILET of a restaurant
Popular dish
FILET
A photo of OSSO BUCO of a restaurant
Popular dish
OSSO BUCO
A photo of Casa di Amore restaurant
Casa di Amore
4.9
4.9 (4855)
$31 to $50
Italian
Paradise
About the restaurant
Casa Di Amore is Vegas, the way it used to be! Your dining experience is sure to be delightful. Wonderful old school atmosphere with traditional Italian fare, live entertainment nightly and friendly, knowledgeable service. Menu selections include Osso Bucco, Cioppino, Steak Sinatra, and Pork Chops with Vinegar and Peppers. Everything is house made with attention to quality and taste. Great wine selection and full bar, plus a hip, yet old school comfy lounge.
Top review
philip
Dined 2 days ago
Excellent food, service, and ambience! Never disappoints!
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A photo of Mushroom Risotto of a restaurant
Popular dish
Mushroom Risotto
A photo of Marsala of a restaurant
Popular dish
Marsala
A photo of Gaetano's Ristorante restaurant
Gaetano's Ristorante
4.9
4.9 (2715)
$31 to $50
Italian
Henderson
About the restaurant
Since 2002, Gaetanos' Ristorante has brought our passion for real Italian food to Henderson. Family-owned and operated, we feature gourmet Italian cuisine in a fine-dining atmosphere.

Our pasta is made in-house and all of our sauces are made from scratch. Everything is cooked to-order. We pride ourselves on using the best, freshest ingredients and using products sourced from the finest in Italy. Our Osso Buco is our signature dish and house specialty.

Our curated wine list is notable and among the most thoughtful in the valley. We also have a full bar featuring specialty cocktails.

The dress code for our restaurant is Elegant Casual. In general, this means comfortable, yet polished. Jeans, blouses, tailored shorts, skirts, dresses, collared shirts, sport coats are all welcome. Workout clothes, tank tops, and t-shirts or sweatshirts with large logos are not recommended.

We also offer complimentary valet parking Tuesday through Saturday, as our parking lot tends to fill up quickly.

Top review
Cary
Dined today
The food and service was excellent! Well worth the price.
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A photo of Bruschetta of a restaurant
Popular dish
Bruschetta
A photo of Fettuccine Alfredo of a restaurant
Popular dish
Fettuccine Alfredo
A photo of Spaghetti Carbonara of a restaurant
Popular dish
Spaghetti Carbonara
A photo of Piero's Italian Cuisine restaurant
Piero's Italian Cuisine
4.9
4.9 (3563)
$50 and over
Italian
Las Vegas
About the restaurant
Since, 1982 Piero’s Italian Cuisine has been a Las Vegas staple restaurant with an old-school feel reminiscent of 1980s luxury. Our menu features authentic Italian food, market fresh seafood, premium steaks, and one of the largest wine selections in Las Vegas.

Piero’s is a free standing building conveniently located across the street from the Las Vegas Convention and Visitors Authority. We have eight (8) beautifully designed rooms to accommodate most dining preferences. Whether it is a table for two, a banquet, or a private dining experience our award winning staff will help make your meal at Piero's the most enjoyable.

Piero's has earned top industry awards throughout the years including Best of Las Vegas and Wine Spectator’s Best of Excellence.
Top review
Amy
Dined 2 days ago
Food was outstanding. My husband had a perfectly charred ribeye steak and I had a veal Parmesan to die for. Hearty portions. Service was outstanding. Loved our server Johnny and all the wait staff so lovely and attendant. Very cool vibe in the restaurant - old world Italian Las Vegas.
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A photo of Jumbo Shrimp Cocktail of a restaurant
Popular dish
Jumbo Shrimp Cocktail
A photo of Sunday Gravy of a restaurant
Popular dish
Sunday Gravy
A photo of Linguine & Clams of a restaurant
Popular dish
Linguine & Clams
A photo of Sgrizzi by Chef Marc restaurant
Sgrizzi by Chef Marc
4.9
4.9 (226)
$30 and under
Italian
Enterprise
About the restaurant
Savor the authentic flavors of Italy at Sgrizzi, where Chef Marc Sgrizzi's passion for Italian cuisine shines. Step into a warm, inviting atmosphere adorned with Tuscan charm, perfect for an unforgettable dining experience. Our menu features classic Italian dishes crafted with the finest ingredients and Chef Marc's unique touch. Enjoy handmade pasta, fresh seafood, and succulent steaks, each bite reflecting our commitment to culinary excellence. Delight in beloved classics like no-breadcrumbs eggplant parmesan and spicy chicken riggies. Explore diverse offerings, from Tuscan-style gnocchi Bolognese to melt-in-your-mouth filet el chico. Complement your meal with handcrafted cocktails and an extensive wine list from our full-service bar. Our knowledgeable staff is ready to help you find the perfect pairing. Whether celebrating a special occasion or craving a taste of Italy, Sgrizzi promises an unforgettable escape. Join us and experience the true essence of Italian cuisine.
Top review
AlanVIP
Dined 4 days ago
It was great to meet Chef Marc. Service is next level
A photo of La Strega restaurant
La Strega
4.8
4.8 (1866)
$31 to $50
Italian
Spring Valley
About the restaurant
LA STREGA TRATTORIA IS LOCATED IN BEAUTIFUL LAS VEGAS, NEVADA.

La Strega is Las Vegas’ premiere Italian eatery nestled in the affluent community of Summerlin where James Beard nominated Chef Partner, Gina Marinelli ignites an authentic Italian cultural rejuvenation by inspiring exploration of the traditions of flavorful, fresh and innovative Italian cuisine with her modern, farm-to-table regionally-based dishes.

Translating to “witch” in Italian, La Strega’s sophisticated yet playful atmosphere bewitchingly transports guests to Italy immediately upon arrival. Greens, clays, and earth tones make up its color palette, while full moon-shaped bulbs on brass chandeliers illuminate the space. The restaurant’s artistic centerpiece is a one‐of‐a‐kind mural that spans multiple walls throughout the restaurant, telling the story of the witches of Benevento which inspired the genesis of La Strega, a tale best told by the head Strega herself, Chef Gina Marinelli.

We invite you into our home!!!
Top review
LeeVIP
Dined 1 day ago
We love the different dishes that are all meticulously prepared and presented.
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A photo of Rigatoni Bolognese of a restaurant
Popular dish
Rigatoni Bolognese
A photo of Spicy Pig Pizza of a restaurant
Popular dish
Spicy Pig Pizza
A photo of Bootlegger Bistro restaurant
Bootlegger Bistro
4.8
4.8 (3562)
$30 and under
Italian
South Las Vegas
About the restaurant
Good things never change. Since 1955 Chef Maria of the Bootlegger Bistro "Nevada's First Restaurateur of the Year" has been creating the finest in Italian cuisine for generations of satisfied customers. Big portions, great food, and a relaxed romantic atmosphere. Featuring Classic Vintage Vegas Entertainment 7 nights a week, The Bootlegger Bistro constantly tops Las Vegas’s best of lists and has been featured on everything from ABC Television to Bravo and the Food Network. Full menu and video poker at our bar. The Bootlegger Bistro where celebrity’s and locals gather.
Top review
John
Dined 1 day ago
Our server, Raymond was awesome! The food was perfect. Lovely ambiance. It is not the cheapest in town, but well worth the price.
A photo of Limoncello - Fresh Italian Kitchen restaurant
Limoncello - Fresh Italian Kitchen
4.8
4.8 (1254)
$31 to $50
Italian
Summerlin
About the restaurant
Limoncello is an upscale Italian restaurant/steakhouse on the westside of Las Vegas inspired by the Amalfi Coast. Whether you are coming from Summerlin or the Las Vegas Strip, we invite you to enjoy our daily fresh seafood selection, prime meats, homemade pastas, oven fired pizza and many more Italian classic dishes. Our bar offers handcrafted classic American and Italian cocktails made always with premium spirits. Our wine cellar features some of the best American and Italian wines available, including rare verticals.

Las Vegas' Best Italian Restaurant of 2022 MyVegas

Limoncello's private rooms can accommodate special events, celebrations, large parties and business meetings with ease. The ambiance is beautiful and romantic with fresh authentic Italian dishes served with a modern flare: Gamberoni, a South African giant prawn, pan-seared in seafood Cognac sauce, Tomahawk Veal Chop and Dover Sole, Mugnaia style are highlighted since our grand opening in November 2019.
Top review
Cameron
Dined 1 day ago
Roberto is my waiter every time! he is the best! The food is always amazing, never disappoints
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A photo of Orecchiette of a restaurant
Popular dish
Orecchiette
A photo of Spaghetti Vongole of a restaurant
Popular dish
Spaghetti Vongole
A photo of Dover Sole Papillote of a restaurant
Popular dish
Dover Sole Papillote
A photo of Esther’s Kitchen restaurant
Esther’s Kitchen
4.8
4.8 (2797)
$31 to $50
Italian
Downtown
About the restaurant
Seasonal Italian Restaurant. Focused on Handmade pasta, bread and pizza. We get all of our products as locally sourced as possible.
Top review
Dana
Dined 2 days ago
Excellent service, excellent food. Highly recommend.
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