SF EATS
Italian · San Francisco

🧀 Best Cacio e Pepe in San Francisco

5 spots ranked by what reviewers actually love. High mentions do not mean high quality.

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Rank 01 · The gold standard

Roma Antica

Marina District · ★ 4.5 (1807 reviews) · $$
Talked about 100Loved 90%
“We had an absolutely terrific lunch experience thanks to David. From the moment we sat down, the service was thoughtful, attentive, and genuinely…”
3242 Scott St, San Francisco, CA 94123
Rank 02

54 Mint Cucina Romana

Mid-Market · ★ 4.4 (1492 reviews) · $$
Talked about 45Loved 85%
“Cute inside, great service staff. Bread from montesacro Pinseria was the highlight to us. Also liked the negroni and funghi side. Chicory & endive…”
16 Mint Plaza, San Francisco, CA 94103
Rank 03

Penny Roma

Mission District · ★ 4.4 (917 reviews) · $$$
Talked about 30Loved 85%
“Got the prix fix menu and it was an absolute slam dunk; while I have nice things to say about everything, they Do Not play about their crudo here…”
3000 20th St, San Francisco, CA 94110
Rank 04

Ideale

North Beach · ★ 4.4 (514 reviews) · $$
Talked about 45Loved 80%
“Excellent. Devon, concierge from Fairmont Nob Hill recommended ideale, and it lived up to his hype. Paulo, maitre’d, was gracious, kind…”
1309 Grant Ave, San Francisco, CA 94133
Rank 05

Seven Hills

Russian Hill · ★ 4.7 (955 reviews)
Talked about 0
“I can’t believe I haven’t written a review for Seven Hills yet. It’s been one of my favorite restaurants for years, and it truly holds a special…”
1896 Hyde St, San Francisco, CA 94109

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