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

1. flour + water

9.0
2401 Harrison St (at 20th St), San Francisco, CA
Italian Restaurant · Mission District · 264 tips and reviews

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

Nate L.Nate Lawler: Wild fennel pasta, leg of lamb and squid ink pasta were our favorites. Casual atmosphere with amazing food!

Giovanni D.Giovanni D'Palma: Amazing! This place does Italian right. The attention to detail shines through each dish and in every bite. You can't go wrong with anything, try some pasta and a pizza

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

Arden G.Arden Ginsberg: The food is fabulous. Clean simple fresh flavors. Squash affogato, yum. Gnocchi delicious. Next time I'm in town this is the place to go.

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.

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

KarstenKarsten: This place opened in Aug '14. The owners are so nice (a mom-and-pop!) and are from Italy - MUST get the gnocchi, any type of pasta. Service top notch (they give you extra meatballs, etc.) INCREDIBLE!!

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

Shirley L.Shirley Liu: Spaghetti and meatballs and Caesar salad are the way to go :)

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

Song-My T.Song-My Tran: Quirky fun restaurant with delicious spaghetti and meatballs. Gets crowded so make a reservation if possible.

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

5. Seven Hills

8.7
1550 Hyde St (btwn Pacific Ave & Jackson St), San Francisco, CA
Italian Restaurant · Nob Hill · 60 tips and reviews

Jessica M.Jessica Martinez: Amazing signature ravioli. Mouth watering everything. A must in sf.

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!

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

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.)

SFGateSFGate: Specialties: Spaghetti with plum tomatoes, garlic and olive oil; pappardelle with pork sugo; wild nettle ravioli; roast chicken; buttermilk panna cotta. Read more.

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

7. a Mano

8.7
450 Hayes St (Octavia Street), San Francisco, CA
Italian Restaurant · Hayes Valley · 67 tips and reviews

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

Colin L.Colin Lee: New Italian spot with good pizza and pasta. Modern ambiance

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.

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

8. Marcella's Lasagneria & Cucina

9.0
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

Charlotte B.Charlotte Blommestijn: Feels like being back in Italy! Warm and welcoming owner, and great lasagna. Daily lunch menu looks good too!

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.

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

9. Rich Table

8.9
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

Mitali P.Mitali Pattnaik: Always get the pasta special here! My favorite is linguini with tuna heart.

Chester N.Chester Ng: Spicy octopus stew, uni tuna heart pasta, lamb chops, the special pasta of the day. Delicious.

EaterEater: Don’t miss the spicy octopus stew, the sea urchin pasta, and the unusual wine selection. Read more.

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

11. Blue Plate

8.8
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♥

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

12. SPQR

8.0
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!

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

13. The Italian Homemade Company

8.2
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

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

14. 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.

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

15. Nob Hill Cafe

8.6
1152 Taylor St (Taylor And Clay), San Francisco, CA
Italian Restaurant · Nob Hill · 91 tips and reviews

Kay M.Kay M: Really enjoyed the Linguine alla Vongolewith baby clams, white wine, lemon & garlic. Yum!! Read more.

ashley t.ashley tevatia: Grab a glass of wine while you wait outside (and there will most definitely be a wait, this place is walk-ins only). The penne and the tortellini w/pesto are amazing, as is the tiramisu.

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