Bella Trattoria Italiana is one of The 15 Best Places for Italian Sausage in San Francisco.

1. Bella Trattoria Italiana

8.5
3854 Geary Blvd (at 3rd Ave), San Francisco, CA
Italian Restaurant · Inner Richmond · 43 tips and reviews

Q M.Q Manning: Everything was eye-rollingly delicious. The polenta was creamy and wonderful, with perfect mushrooms. The artichoke salad was bright & crisp. And then...the Italian sausage gnocchi defies words :)

67tara67tara: The gnocchi with tomato, mozzarella and Italian sausage is amazing!

Danny N.Danny Nguyen: Get the Italian food!

Mario's Bohemian Cigar Store Cafe is one of The 15 Best Places for Italian Sausage in San Francisco.

2. Mario's Bohemian Cigar Store Cafe

8.7
566 Columbus Ave (at Union St), San Francisco, CA
Café · North Beach · 94 tips and reviews

Mike A.Mike Arend: Ask for italian sausage w meatball focaccia sandwich. It isn't on menu. Ask Nelson for it

L.D F.L.D Ferguson: Get the bagel with the Italian sausage.

Carmen M.Carmen Myers: I dream about their sandwiches and the 1/2 for $6 is perfect

Beretta is one of The 15 Best Places for Italian Sausage in San Francisco.

3. Beretta

9.0
1199 Valencia St (at 23rd St), San Francisco, CA
Italian Restaurant · Mission District · 490 tips and reviews

CarolineCaroline: Love this place. The eggplant starter is superb, as is the heirloom tomato pizza (add some Italian sausage for a deadly combo).

Adriaan M.Adriaan Moors: Awesome place. Kentucky mule and spicy Italian sausage pizza. Deee-licious.

HipstamaticHipstamatic: Nom = Spicy Italian Sausage pizza.

Rosamunde Sausage Grill is one of The 15 Best Places for Italian Sausage in San Francisco.

4. Rosamunde Sausage Grill

8.8
2832 Mission St (Btw 24th & 25th), San Francisco, CA
Sausage Store · Mission District · 181 tips and reviews

Amy S.Amy Seward: Go for the vegan Italian sausage, and then chat up the bartenders. They know their refreshments!

Adrian P.Adrian Phillips: Really can't go wrong with a meal like German Baked Beans, pickles and a Hot Italian Sausage. Ask for a half pint to try more beers. Really cheap option for dinner, go up to the bar and order.

Jai S.Jai Singh: Can't go wrong with the spicy lamb "merguez" sausage! Get it with spicy peppers and sweet onions

Firenze by Night Ristorante is one of The 15 Best Places for Italian Sausage in San Francisco.

5. Firenze by Night Ristorante

8.2
1429 Stockton St (Columbus St.), San Francisco, CA
Italian Restaurant · North Beach · 40 tips and reviews

Adam F.Adam Ford: Get the penne with olive oil, garlic and sun dried tomatoes - then add Italian Sausage. You won't regret it!

Alain G.Alain Gonzalez: Gnocchi al pesto. Best gnocchi if had in like 10 years!

Andrew C.Andrew Cheung: Chris is an awesome bartender. Ask him for a shot of Cynar. After you eat the gnocchi!

Tony's Coal-Fired Pizza & Slice House is one of The 15 Best Places for Italian Sausage in San Francisco.

6. Tony's Coal-Fired Pizza & Slice House

8.4
1556 Stockton St (Union Street & Columbus Street), San Francisco, CA
Pizzeria · North Beach · 38 tips and reviews

Zoe W.Zoe Wong: Coal Fired New Yorker (pepperoni, Italian sausage, ricotta, garlic & oregano)!

Laurel H.Laurel Henderson: Try the meatball calzone-- amazing! Crusty and puffy crust, creamy ricotta, and quality homemade meatballs. One of the best meals I've had in recent memory.

Heidi J.Heidi Jamuna: Best Californian Vegetarian Pizza ever!

Il Pollaio is one of The 15 Best Places for Italian Sausage in San Francisco.

7. Il Pollaio

8.2
555 Columbus Ave (Union), San Francisco, CA
Argentinian Restaurant · North Beach · 27 tips and reviews

Laura R.Laura Ramkissoon: Try the Italian Sausages - (via @Foodspotting)

Vinaya V.Vinaya Vishwanath: The chicken is perfect but the hamburger is incredible!

Chefs FeedChefs Feed: Ruggero Gadaldi, chef of Beretta, eats here on his nights off. He loves the Whole chicken. Read more.

Mozzarella di Bufala is one of The 15 Best Places for Italian Sausage in San Francisco.

8. Mozzarella di Bufala

8.0
69 West Portal Ave, San Francisco, CA
Brazilian Restaurant · West Portal · 23 tips and reviews

Paulo Marcello(Lelo) D.Paulo Marcello(Lelo) Diogo: Italian Sausage Sandwich - Baked fresh Italian sausage patty topped with mozzarella cheese and fresh tomatoes.Really great!!!!

Paulo Marcello(Lelo) D.Paulo Marcello(Lelo) Diogo: Try the Fettuccini Carbonara- With ham and peas in a Parmesan cheese cream sauce

BrianBrian: Have the Greco pizza

Trattoria Da Vittorio is one of The 15 Best Places for Italian Sausage in San Francisco.

9. Trattoria Da Vittorio

7.5
150 West Portal Ave, San Francisco, CA
Italian Restaurant · West Portal · 24 tips and reviews

Jeffrey L.Jeffrey Liu: This Italian sausage with mushrooms and buffalo cheese was really delicious! Freshly made and they even used a fire oven!

Alex B.Alex Borodach: Most authentic Italian trattoria I've seen in Bay Area. All staff 99% Italian, food is tasty and last not least - service is pleasantly attentive and full of Italian soul.

Rodrigo C.Rodrigo Cabanas: Feels like home made food ... Eggplant, Lasagna, Calamari, everything I have had there remembers me my grandmother cooking.

Submarine Center is one of The 15 Best Places for Italian Sausage in San Francisco.

10. Submarine Center

8.8
820 Ulloa St (at Claremont Blvd), San Francisco, CA
Sandwich Spot · West Portal · 60 tips and reviews

Guillaume W.Guillaume Weeger: Italian sausage

Val K.Val Klump: Every sandwich here is fantastic, but I particularly recommend the meatball sub with provolone.

FoodspottingFoodspotting: Get the hot pastrami and don’t forget the special sauce. The same family has been working in this sandwich shop for more than 20 years and the subs haven’t changed a bit. - Jeremy

Tommaso's is one of The 15 Best Places for Italian Sausage in San Francisco.

11. Tommaso's

7.7
1042 Kearny St (at Broadway), San Francisco, CA
Italian Restaurant · Jackson Square · 68 tips and reviews

Sarah L.Sarah Liz: Pizza and the italian sausage and throw some basil on it gives it great flavor. Syrah 2010 Tommaso private label is great.

JJ V.JJ Venturini: Melon & Prosciutto when they have it. Manicotti w/meatballs + any pizza. Just outstanding!

Giorgio C.Giorgio Crotti: Calzone #13, Lasagna, Veal Rollettini, Spinach and Shaved Parmigiana Pizza are the items to get here!

il Casaro Pizzeria & Mozzarella Bar is one of The 15 Best Places for Italian Sausage in San Francisco.

12. il Casaro Pizzeria & Mozzarella Bar

8.9
348 Columbus Ave (at Grant Ave), San Francisco, CA
Pizzeria · North Beach · 73 tips and reviews

Greg S.Greg Stephenson: Possibly the best pizza I have had in SF. Four cheese with additional Italian sausage was spot on. As was the brochette pizza

Mônica C.Mônica Conrad: Excellent and fast service - very tasty and authentic italian pizza, the mozzarella di bufala is the best!!!

Tyler M.Tyler Miller: My new favorite spot in North Beach. Top notch service, amazing food, and great environment. I was still there and already wanted to come back! And the pricing is extremely reasonable.

Eats is one of The 15 Best Places for Italian Sausage in San Francisco.

13. Eats

8.1
50 Clement St (at 2nd Ave), San Francisco, CA
Breakfast Spot · Inner Richmond · 76 tips and reviews

eifeheifeh: Decent breakfast/brunch spot in the Inner Richmond. Gets busy on the weekends. Food and service are all decent. Waffles with berries and cream were good. Polenta with Italian sausage was good too.

J J.J John: Good indie breakfast spot. Pancakes & waffles are a level or two above IHOP, and breakfast selections are creative and tasty. A bit pricey, just FYI.

TanG \.TanG \(^~^)/: That's what I do nowadays...!!

Piccino Cafe is one of The 15 Best Places for Italian Sausage in San Francisco.

14. Piccino Cafe

9.0
1001 Minnesota St (at 22nd St), San Francisco, CA
Café · Dogpatch · 175 tips and reviews

Ed D.Ed Diaz: The Italian sausage pizza is the the best thin crust I have ever had! Add the plum cake to cap it off

Juls W.Juls Wilemon: Sightglass coffee and savory turnovers.

Laura G.Laura G: The white pizza is one of the best in the city. Garlicky! Piccino has a well curated wine list; the staff will recommend excellent pairings with your meal.

L'ottavo Ristorante is one of The 15 Best Places for Italian Sausage in San Francisco.

15. L'ottavo Ristorante

7.3
692 Sutter St (at Taylor), San Francisco, CA
Italian Restaurant · Lower Nob Hill · 20 tips and reviews

Keith S.Keith Smith: Great intimate place with wonderful food. Loved the penne with Italian sausage, mushrooms, broccoli and sun-dried tomatoes

Dan F.Dan F: The gnocchi was amazing. The sauce had great flavor and zestiness. The restaurant is very quaint and the service was awesome

Bob F.Bob Fleshman: This restaurant was run by an Italian family for decades. Ownership, management, and all the recipes recently changed hands--and the service is better. Get the L'Ottavo fettuccine!