flour + water is one of The 15 Best Places for Pasta in San Francisco.

1. flour + water

8.9
2401 Harrison St (at 20th St), San Francisco, CA
Italian Restaurant · Mission District · 264 tips and reviews

Alex H.Alex Hisaka: Make reservations before dinner. Wait times can sometimes be 45-60 minutes! Also, the pasta with stuffed braised beef is to die for.

Kosuke H.Kosuke Hata: The rabbit pasta was amazing. The pizza is beautiful and thin, just how I like it.

Meghana D.Meghana Dhar: Veggie reccos: pasta- goat-cheese triangoli; pizza- pomodoro; dessert- chocolate budino (sinful, loved sea salt). Pro tip: get here early on a week day and you don't need reservations (20 min wait)

Cotogna is one of The 15 Best Places for Pasta in San Francisco.

2. Cotogna

9.2
490 Pacific Ave (at Montgomery St), San Francisco, CA
Italian Restaurant · Jackson Square · 236 tips and reviews

Fiona S.Fiona Stripe: The ravioli is amazing. We ordered it for dessert as well as having it as our main course!

Rebecca M.Rebecca Maldonado: Such a delightful lunch with focaccia, raviolo au ouvo and tagliatelle! Very nice.

MM: Best pasta I have ever tasted!! Raviolo (not ravioli!) With egg and brown sugar was to die for! The triangolini with chives and corn also nice but a bit sweet.

The Italian Homemade Company is one of The 15 Best Places for Pasta in San Francisco.

3. The Italian Homemade Company

8.9
716 Columbus Ave, San Francisco, CA
Italian Restaurant · North Beach · 82 tips and reviews

Frank C.Frank Cecena: Meatballs to die for and paninis and ravioli

Ricardo S.Ricardo Saad: Great fresh salad. Delicious lasagna

Nate S.Nate S: Best pasta I've had outside of Italy. I'm coming back 20 times so I can try everything on the menu!

Emmy's Spaghetti Shack is one of The 15 Best Places for Pasta in San Francisco.

4. Emmy's Spaghetti Shack

8.3
3230 Mission St (between Valencia and 29th St), San Francisco, CA
Italian Restaurant · Bernal Heights · 126 tips and reviews

Willo S.Willo Sana: Cute waiters + delicious wine/cocktails + mouth watering ceasar salad (share 1 between 2 people) + best spaghetti & meatballs you'll ever have in your life!

John D.John Doherty: Great little local spot. Spaghetti is delicious. The wine list is surprisingly good.

Annie 🌺 J.Annie 🌺 Jalota: Loved the zoodles! Packed with flavor. And the traditional spaghettis are super yummy too!

a Mano is one of The 15 Best Places for Pasta in San Francisco.

5. a Mano

8.9
450 Hayes St (Octavia Street), San Francisco, CA
Italian Restaurant · Hayes Valley · 66 tips and reviews

Marissa C.Marissa C: Fresh pasta made daily, casual atmosphere and well priced. Loved the bucatini

Shrutika S.Shrutika Sachdev: The homemade pasta is delicious as is the pizza! Oh and appetizers - so everything! Lamb pasta is spot on! Great addition to Hayes Valley.

Jake T.Jake Teton-Landis: Fried delecata squash, the drinks, the pasta we’re all amazing. Good balance of value and flavor. Sneak a seat at the bar to skip the wait!

Delfina is one of The 15 Best Places for Pasta in San Francisco.

6. Delfina

8.8
3621 18th St (Guerrero St), San Francisco, CA
Italian Restaurant · Mission Dolores · 125 tips and reviews

Kathy C.Kathy Chan: You can always get a table at 10pm. Best spaghetti in the city.

Brad B.Brad Benson: Everything was excellent. The Ribolitta was unique & tasty, the GRILLED calamari was perfect (and I'm usually not a huge calamari fan), and the spaghetti was some of the best I've had! Sit at the bar.

Denaya D.Denaya Dailey: Yum! Everything is wonderful. You can't go wrong. (I personally love the homemade spaghetti.)

Seven Hills is one of The 15 Best Places for Pasta in San Francisco.

7. Seven Hills

8.6
1550 Hyde St (btwn Pacific Ave & Jackson St), San Francisco, CA
Italian Restaurant · Nob Hill · 60 tips and reviews

Dave L.Dave Lievense: This place could compete with any of the great restaurants in Boston's North End (and that's saying something!). The gnocchi was life changing and the meatballs were melt in your mouth delicious.

Marisa V.Marisa V: Get the Ravioli for dinner. Hands down one of the best dishes I've ever had. For apps, opt for the salmon bruschetta. Enjoy!

Priya S.Priya Saiprasad: Order several of the pastas as half plates so you can try an ample selection w/o feeling stuffed. The ravioli uovo, scallops agnolotti, mushroom risotto, panna cotta & ricotta cheese are the best!

Marcella's Lasagneria & Cucina is one of The 15 Best Places for Pasta in San Francisco.

8. Marcella's Lasagneria & Cucina

9.1
1099 Tennessee St (at 22nd St), San Francisco, CA
Italian Restaurant · Dogpatch · 27 tips and reviews

Yasemin O.Yasemin Ozcan: You can't go wrong with their truffle ravioli, any of the lasagna, and caprese salad. After the meal, enjoy espresso made all'italiana

Micah S.Micah Shotel: The verdura lasagna is amazing (all the lasagnas are wonderful but verdura is my favorite). For a change from lasagna try the ravioli alla romana... And get some bread to soak up the delicious sauce.

Daniel G.Daniel Guasca: Here for the first time and the lasagna abruzzo was amazing. Really good service as well

Rich Table is one of The 15 Best Places for Pasta in San Francisco.

9. Rich Table

8.8
199 Gough St (at Oak St), San Francisco, CA
New American Restaurant · Lower Haight · 188 tips and reviews

Masha I.Masha Ioveva: The tomato salad with fresh cheese is amazing, as are the pasta dishes.

Anna F.Anna Frenkel: Bread, oysters, beets, porcini doughnuts, cauliflower, snow peas, ramps, spaghetti w/ goat cheese, salmon, steak, olive oil cake with strawberries. Oh forget it, just eat everything on the menu.

Iris N.Iris Ng: Tasting menu is awesome- and be prepared to feel stuffed unless you are starving! Love their pastas and wine/cocktails.

La Ciccia is one of The 15 Best Places for Pasta in San Francisco.

10. La Ciccia

9.1
291 30th St (at Church), San Francisco, CA
Italian Restaurant · Fairmount · 76 tips and reviews

Layla K.Layla Khoury-Hanold: Best Italian I've had in a long time, east or west coast! Get the spicy baby octopus stew & squid ink linguine. Foodie. Heaven.

Jon B.Jon B.: Amazing little Sardinian neighborhood eatery, with impressive Italian wine list. I highly recommend the baby octopus stew and sea urchin pasta!

Adena B.Adena Brenowitz: Get the Sardinian bread, spaghetti with the fish roe, roasted prawns (legit so soft and delicious) burrata salad, amazing wines!

The Italian Homemade Company is one of The 15 Best Places for Pasta in San Francisco.

11. The Italian Homemade Company

8.5
1919 Union St (at Laguna St), San Francisco, CA
Italian Restaurant · Union Street · 35 tips and reviews

Jennifer K.Jennifer Krinke: Fettuccine w/Meatballs, Veg ravioli w/ marinara & gnocchi w/pesto. Mouth still watering 😛. The veg ravioli was my fav although all were SO delicious and authentic with the homemade, fresh pasta

Anton G.Anton Gaddi: Fresh pasta and awesome tiramisu and panna cotta.

Nicki F.Nicki Finberg: This place is incredible! Can’t go wrong with gnocchi and pesto or bolognes

Blue Plate is one of The 15 Best Places for Pasta in San Francisco.

12. Blue Plate

8.6
3218 Mission Street (at Valencia St), San Francisco, CA
American Restaurant · Bernal Heights · 90 tips and reviews

kev/nullkev/null: Come here by 7 and order from the prix fixé menu. Get the spring greens, the meat loaf and a side of mac and cheese. Mmmm

Keith S.Keith Smith: The most incredible meatloaf and the mac and cheese with goat cheese is heaven!

Jinnie L.Jinnie L: amazing food!! corn soup, fried chicken with kale, mac & cheese! yummy vegetarian options too! - beet salad with fuyu persimmon & artichoke n leak soup were delicious! try them all♥

Trattoria Contadina is one of The 15 Best Places for Pasta in San Francisco.

13. Trattoria Contadina

8.7
1800 Mason St (at Union St), San Francisco, CA
Trattoria · Russian Hill · 68 tips and reviews

Whitney L.Whitney Love: Gnocci is amazing!!

Vivian M.Vivian Moretti: Gnocchi + blue sauce = feels like home - just amazing!

Christine C.Christine Cafiso: Wonderful local Italian restaurant in the North Beach area. Small restaurant, make a reservation ahead of time.Get the Carlesimo pasta, so delicious! Bruschetta was extremely fresh as well.

SPQR is one of The 15 Best Places for Pasta in San Francisco.

14. SPQR

7.8
1911 Fillmore St (btwn Bush & Pine St), San Francisco, CA
Italian Restaurant · Lower Pacific Heights · 171 tips and reviews

jon a.jon accarrino: the spring lamb tortellini with smoked lamb brodo was #delicious

N8 W.N8 W: Try the Smoked Fettuccine With Sea Urchin, Bacon And Quail Egg

Mary X.Mary X: The smoked fettucini w uni, bacon, and egg was delicious! Desserts were yummy too!

Nob Hill Cafe is one of The 15 Best Places for Pasta in San Francisco.

15. Nob Hill Cafe

8.5
1152 Taylor St (Taylor And Clay), San Francisco, CA
Italian Restaurant · Nob Hill · 91 tips and reviews

LeighAnne R.LeighAnne Riise: The Robalitto Soup is hands down the best minestrone I've had in SF. Best thing to do on a date: Both order soup and slit a pasta, like the vodka penne :)

Maritza S.Maritza Spitler: Service was wonderful! Cozy spot for wine and pasta lunches :)

Raúl G.Raúl Garreta: My favorite Italian restaurant in San Francisco. Delicious pasta, I love the spaghetti alla carbonara. Good selection of wine. Super friendly and professional staff. Cozy atmosphere.