Zia's Restaurant is one of The 15 Best Places for Fettuccine in St Louis.

1. Zia's Restaurant

8.6
5256 Wilson Ave, St Louis, MO
Italian Restaurant · The Hill · 38 tips and reviews

Caleb S.Caleb Smith: Chicken fettucini Alfredo - creamy and delicious.

Richard V.Richard Vie: House dressing, lobster ravioli, fettuccini alfredo

Kimberly P.Kimberly Poe: The seafood ravioli is amazing and just about everything else on the menu their specials are also spectacular

Mama's on the Hill is one of The 15 Best Places for Fettuccine in St Louis.

2. Mama's on the Hill

8.1
2132 Edwards St, St Louis, MO
Italian Restaurant · The Hill · 27 tips and reviews

Evan L.Evan Landewee: Amazing fettuccini alfredo! Best restaurant on The Hill!

Camea K.Camea K: Nice casual. Always comfortable to go here in a group, as a couple or simply alone. Comfortable atmosphere. Food delicious. Good service.

Go! MagazineGo! Magazine: Are Mama's t-ravs made from scratch? We can't tell, but they deliver exactly what you expect from toasted ravioli: a crisp exterior and a beeflike filling with the consistency of paste. (Ian Froeb) Read more.

Small Batch is one of The 15 Best Places for Fettuccine in St Louis.

3. Small Batch

8.3
3001 Locust St (at N Garrison Ave), St Louis, MO
Whisky Bar · Midtown · 27 tips and reviews

Leia W.Leia Wilhelm: Service was lacking, they need more people. The egg roll appetizer is different, but the blue cheese is overpowering. The gnocchi is pretty good and The fettuccine is really good!

Megan H.Megan Haeffele: Have been here twice now and it was great both times. Small plates (potstickers and polenta) were delicious and the bartender was great.

Adam H.Adam Hickey: Great cocktail selection. The polenta cakes are delicious too.

Guido's Pizzeria & Tapas is one of The 15 Best Places for Fettuccine in St Louis.

4. Guido's Pizzeria & Tapas

8.6
5046 Shaw Ave, St Louis, MO
Tapas Restaurant · The Hill · 43 tips and reviews

Josh R.Josh Reeves: Get the Fettuccine Alfredo and a glass off Pinot noir.

Kirk R.Kirk Rafferty: Best pizza in St. Louis. Go with provel cheese for sure.

Chris M.Chris MacLellan: Best pizza in St Louis!

Kenrick's Meat Market is one of The 15 Best Places for Fettuccine in St Louis.

5. Kenrick's Meat Market

9.1
4324 Weber Rd (Union Rd), St Louis, MO
Butcher · 23 tips and reviews

Emily H.Emily Hammann: If you love to grill out, I highly recommend getting your meat here. The customer service is great and there are a lot of choices of meats. Be sure to get some Ozark Grillers to make!

Riverfront TimesRiverfront Times: RFT 2012 Best of St. Louis Winner - Best Meat Counter- Here you're greeted by the smell of barbecue and a counter packed with every sort of meat you could possibly want! http://bit.ly/Rx5zju

Joe P.Joe Payawal: 12oz BBQ pork steak special is great! It's like a full meal for just under $8. BBQ pork and two sides.

Onesto Pizza & Trattoria is one of The 15 Best Places for Fettuccine in St Louis.

6. Onesto Pizza & Trattoria

8.4
5401 Finkman St (Macklind), St Louis, MO
Pizzeria · Princeton Heights · 40 tips and reviews

Stacy S.Stacy Sedlack: If you get the fettucini make sure you request the raw egg plated with the dish! Arancini is wonderful as well.

Meg G.Meg Gartland: Awesome place...yummy dough balls always hot...Pizza to die for!

Eric M.Eric M (stlbeerdad): The BEST sangria in St Louis!

The Old Spaghetti Factory is one of The 15 Best Places for Fettuccine in St Louis.

7. The Old Spaghetti Factory

8.1
727 N 1st St, St Louis, MO
Italian Restaurant · Downtown East · 69 tips and reviews

Gary R.Gary Riedy: The food is excellent and inexpensive and the old world atmosphere is great! I highly recommend this place to anyone who likes spaghetti or pasta dishes!

Sherry P.Sherry Prindle: Mizithra cheese is the best!

Tracilee Hoffman H.Tracilee Hoffman Hoffman: Get the mizithra cheese pasta and add chicken to it. Best combo on the menu. Delicious!!

Vito's Sicilian Pizza is one of The 15 Best Places for Fettuccine in St Louis.

8. Vito's Sicilian Pizza

7.5
3515 Lindell Blvd (btwn Grand & Olive), St Louis, MO
Pizzeria · Grand Center · 24 tips and reviews

Steven X.Steven Xzavier: Try the spaghetti carbonara with fettuccine noodles instead....3 words. To Die For!! Enough said!!

24 Hour F.24 Hour Food Geek: Try the Crispy Ceasar - Crispy caesar - hearts of romaine, (no) croutons, shaved parmigiana, and anchovy. #vitosstlouis (via @Foodspotting)

Mike B.Mike Bommarito: Don't eat the tortilla soup. Also there's a secret button in the bathroom that if touched unlocks a secret door in the wall where u can see into the future.

Biggies is one of The 15 Best Places for Fettuccine in St Louis.

9. Biggies

8.4
3332 Watson Rd, St Louis, MO
Bar · Lindenwood Park · 17 tips and reviews

A.J. A.A.J. Agee: Steak sandwich on garlic cheesebread is best in St. Louis!

William H.William Hunt: Real bar..

Dan S.Dan Smith: Try the steak sandwich with garlic cheese bread.

Grbic Restaurant is one of The 15 Best Places for Fettuccine in St Louis.

10. Grbic Restaurant

8.7
4071 Keokuk St (Meramec), St Louis, MO
Eastern European Restaurant · Dutchtown South · 24 tips and reviews

Kitty L.Kitty Lasinski: Excellent food! Calamari, Grbic salad, Voldastana, Swiss specialty - never had a bad meal here!

Cindy C.Cindy Crook: The cabbage rolls are amazing!

Korina B.Korina Bogdanovic: Order Cevapi. Excellent

Lorenzo's Trattoria is one of The 15 Best Places for Fettuccine in St Louis.

11. Lorenzo's Trattoria

8.4
1933 Edwards St (Daggett), St Louis, MO
Italian Restaurant · The Hill · 18 tips and reviews

Alan H.Alan Hautly: Excellent soups and awesome Gorgonzola spread

Cyndy W.Cyndy Woodard: It's not on the menu... Bit ask for the fried ravioli. And put the Gorgonzola cheese on it. Yum!!

Tee M.Tee Michelle: it was amazing... you must get the bread budding for dessert!

Favazza's is one of The 15 Best Places for Fettuccine in St Louis.

12. Favazza's

8.6
5201 Southwest Ave, St Louis, MO
Italian Restaurant · The Hill · 30 tips and reviews

Ann T.Ann Tentschert: The service was awesome! The food was great! I recommend it to all.

Rebecca (.Rebecca (Wales) Kiessling: This is the best garlic bread in the world. Seriously.

Sherry S.Sherry Shular: Our favorite place on the Hill. We drive 3 hours to have dinner here. House salad is delish! And there are several different ones to choose from. Lasagna is wonderful. Every dish we've tried was great

Tony's is one of The 15 Best Places for Fettuccine in St Louis.

13. Tony's

8.3
1 S Broadway (Hilton St. Louis at the Ballpark), St Louis, MO
Italian Restaurant · Downtown East · 18 tips and reviews

Roger W.Roger Woolums: Beef Tenderloin was great. Great place for a special occasion.

Go! MagazineGo! Magazine: Still a perfect restaurant. This is someplace where you’ll want the meal to last two hours, or even much longer, and a pasta course helps stretch it out. (Joe Bonwich) Read more.

Ashley L.Ashley L.: One of my favorite restaurants!

Eleven Eleven is one of The 15 Best Places for Fettuccine in St Louis.

14. Eleven Eleven

9.1
1111 Mississippi Ave, St Louis, MO
New American Restaurant · Lafayette Square · 52 tips and reviews

Catherine L.Catherine L: So good. Everything - Just delicious.

Shirley D.Shirley Derr: One of the best fine restaurants in St. Louis Metro.

Riverfront TimesRiverfront Times: The wine list is impressive, along with a menu featuring variations on casual Northern Italian and California fare. Wild boar is a house specialty -- that's right, wild boar. http://bit.ly/11L7NjW

Anthony's Bar is one of The 15 Best Places for Fettuccine in St Louis.

15. Anthony's Bar

7.8
10 S Broadway, St Louis, MO
Italian Restaurant · Downtown East · 8 tips and reviews

Sean C.Sean C.: If you're looking for a relatively place for pregame drinks, food and awesome bartenders, anthony's is the place.

Carrie H.Carrie Henschel: Cobb salad with avocado is to die for!

Tim R.Tim Rank: Though anthony's has their own menu, you can order from the Tony's menu as well, and enjoy in the more casual anthony's atmosphere.