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

1. Marcella's Lasagneria & Cucina

9.2
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

David B.David Bishop: Quite an amazing menu for lunch, their specialty, with a dinner menu 'to go' from 3:30-6:30.

Filip M.Filip Mares: If you're microwaving your takeout order, ask for a microwave bag.

Pizzeria Delfina is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

2. Pizzeria Delfina

9.0
3611 18th St (btwn Guerrero St & Oakwood St), San Francisco, CA
Pizzeria · Mission Dolores · 266 tips and reviews

Brett L.Brett Lider: Try ordering off-menu: the Purgatorio (spicy tomato sauce and pecorino with two farm eggs cracked on top) is always available.

Jessica K.Jessica Karle: The special avocado salad is amazing and the Prosciutto Pie are amazing. Well worth a stop in!

30 Minutes Or Less30 Minutes Or Less: This pizza is a hot item. Now is not the time to share. #DontBlowIt

Garibaldi's is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

3. Garibaldi's

8.6
347 Presidio Ave (btwn Clay & Sacramento St), San Francisco, CA
American Restaurant · Presidio Heights · 23 tips and reviews

Joseph U.Joseph Urban: try the chicken milanese. one of the top dishes in San fran. can feed 2. great cocktails, too.

BenBen: Burrata just do it

Mark C.Mark Chu Cheong: Chicken Milanese if ur about to get the electric chair

Crabstand at Fisherman's Wharf is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

4. Crabstand at Fisherman's Wharf

7.9
(Embarcadero), San Francisco, CA
Seafood Restaurant · Fishermans Wharf · 6 tips and reviews

Manny A.Manny Artiles: I had a great meal here that now that am back in Miami I still crave. The fried calamari, clam chowder and the half crab and shrimp salad on sourdough bread. with a cold corona beer. Wish I was there.

Cyndie D.Cyndie Da Rocha: Take the salad Crab/Shrimp.

Mary H.Mary Hdz: Lots of delicious choices

Pagan is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

5. Pagan

8.4
3199 Clement St (at 33rd Ave), San Francisco, CA
Burmese Restaurant · Outer Richmond · 28 tips and reviews

Nico P.Nico Pitney: The tea leaf salad is orgasmic. Grilled salmon with red curry, pineapple, and lychee is excellent too.

Patrick M.Patrick Munson: Samusa Soup is the best thing on the menu!

David P.David Prager: Tea leaf salad mixed at your table FTW

Jackson Fillmore is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

6. Jackson Fillmore

8.2
2506 Fillmore St (at Jackson St), San Francisco, CA
Italian Restaurant · Pacific Heights · 26 tips and reviews

VernaVerna: Burrata muchroom app is a must! Simply prepared but that's the best way to enjoy good burrata.

W Z.W Z: Affogato and tiramisu made me cry cause it was so good. The tortellini is AMAZING

BrianBrian: Awesome bruschetta. Ask for a second or third helping, they won't mind!

Tony’s Pizza Napoletana is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

7. Tony’s Pizza Napoletana

9.1
1570 Stockton St (at Union St), San Francisco, CA
Pizzeria · North Beach · 466 tips and reviews

HajarHajar: Big recommendation had to wait 1:15 but it is worth the food is amazing I ordered rigatoni with spicy tomato sauce, tuna pizza and garlic bread with cheese super delicious

Jose P.Jose Palomares: Tony's is always worth the wait. Tartufo with prosciutto on the side to please the vegetarians, love and taste for all

Chris H.Chris Hart: The Margarita Pizza

Ristorante Bacco is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

8. Ristorante Bacco

8.0
3913 24th St (24th St), San Francisco, CA
Italian Restaurant · Noe Valley · 21 tips and reviews

Natasha S.Natasha Schmid: Best gluten free selection ever! Oh yeah and did I mention gluten free bread?? Amazing.

Dee B.Dee Beutel: If you are ordering gluten free, get a starter. It's been an hour and the pasta isn't here yet. They say GF takes longer. They aren't kidding! Be warned!

Fabio R.Fabio Resende: Simple but super tasty food

La Ciccia is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

9. La Ciccia

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

Bridget G.Bridget Gael: The most lovely, quiet Italian spot — felt like I had transported to Sardinia. Incredible wine list - we loved the hurrays arugula salad and whole roasted prawns

EaterEater: Not so much San Francisco Italian, as pure unadulterated regional Italian, this family-run sparkler is free of pretension and full of love. Don’t miss the sea urchin pasta. [Eater 38 Member] Read more.

SF WeeklySF Weekly: SF Weekly's Best of Winner 2010 - Editorial Pick - BEST ITALIAN CUISINE

Lupa Trattoria is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

10. Lupa Trattoria

8.0
4109 24th St (btwn Castro & Diamond), San Francisco, CA
Italian Restaurant · Noe Valley · 25 tips and reviews

Melissa H.Melissa H: You can't go wrong here. Good food, good service. The fettuccine tartufate with truffle sauce is especially yummy.

SFGateSFGate: A true neighborhood Roman-style trattoria. Try the bruschetta with fava beans, the fennel and artichoke salad or the tortelloni with creamy mascarpone sauce; finish with a creamy lemon tart. Read more.

Laura F.Laura Fingal-Surma: Order anything with tomato cream sauce.

Capannina is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

11. Capannina

8.0
1809 Union St (at Octavia St), San Francisco, CA
Italian Restaurant · Union Street · 34 tips and reviews

Shirley L.Shirley Liu: Great waitstaff and service. If you're not into the seasonal truffle menu, try the pappardelle with the wild boar raghu.

Jess C.Jess Clifton: truffles!! black and white galore. if there's only 2 of you, get the booth in the back. romance guaranteed.

Dylan B.Dylan Boyd: One of my favorite places in SF. Staff is attentive, knowledgeable, and friendly. If you go and truffles are in season make sure to ask for one of the dishes they make. Wine list is amazing as well

Terrene is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

12. Terrene

7.5
8 Mission St, San Francisco, CA
Cocktail Bar · Financial District · 1 tip

Abbey K.Abbey Keck: The food was better than the cocktails, IMO. The Zaatar Fries were especially good, and the Carrot Harissa was delicious. Brussels Sprouts were on the too-salty side.

Original U.S. Restaurant is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

13. Original U.S. Restaurant

7.6
414 Columbus Ave (at Green St.), San Francisco, CA
Italian Restaurant · North Beach · 18 tips and reviews

Cara H.Cara Hirsch: The gnocchi is unbelievably light.

Serge E.Serge El Khazen: When you're really hungry

Adam H.Adam Hitchcock: Get the gnocchi, so light and fluffy!

illy Caffè is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

14. illy Caffè

7.5
2055 B Union St (btwn Webster & Buchanan St), San Francisco, CA
Café · Union Street · 8 tips and reviews

Bea D.Bea Dicarlo: Good coffee, friendly staff and free wifi

Patrick W.Patrick W: mellow coffee shop, lots of seating, relatively quiet place to work. WiFi password: 2055union

Avneesh K.Avneesh Kohli: Great place to work with free Wi-Fi and lots of outlets. Coffee is not very good though.

Fior D'Italia is one of The 15 Best Places for Spicy Tomato Sauce in San Francisco.

15. Fior D'Italia

7.8
2237 Mason St (at Francisco), San Francisco, CA
Italian Restaurant · North Beach · 31 tips and reviews

Jenna R.Jenna Rocca: The best gnocci, tortelini and pesto I ever had! Great servers...overall amazing restaurant!

Britni M.Britni Miller: It's the oldest Italian restaurant in the United States

Shannon P.Shannon P: Amazing! All of the food is great and good deal for the money.