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

1. Emmy's Spaghetti Shack

8.2
3230 Mission St (between Valencia and 29th St), San Francisco, CA
Italian Restaurant · Bernal Heights · 126 tips and reviews

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

Peter C.Peter Chiu: Best spaghetti and meatballs in the city

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

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

2. Delfina

8.9
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.

Burt H.Burt Herman: Get the spaghetti or the roasted chicken, which are always on the menu and always perfect.

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

3. La Ciccia

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

SFGateSFGate: Specialties: Baby octopus stew; spaghetti with bottarga and cured fish roe; fregola with uni and tuna heart; ricotta and saffron cake with honey. Read more.

ISC C.ISC Chicago: Don't miss the Spaghittusu cun Allu Ollu e Bottariga (Fresh Spaghetti Spicy Garlic Oil Salt Cured Fish Roe)

Sarah T.Sarah Trott: I loved the spaghetti for the pasta dish and the octopus for the starter. Also try the crispy flatbread

Starbelly is one of The 15 Best Places for Spaghetti in San Francisco.

4. Starbelly

8.7
3583 16th St (at Market St.), San Francisco, CA
New American Restaurant · Castro · 290 tips and reviews

Mel DogMel Dog: Starbelly bacon. On pizza, in BLT's, or spaghetti= perfection. A great Castro staple.

Karen T.Karen Tom: favorites here: house cut fries, liver pâté and spaghetti!

Camilla C.Camilla C: One of the best spaghettis I've ever had. Great burrata app too.

Bix is one of The 15 Best Places for Spaghetti in San Francisco.

5. Bix

8.7
56 Gold St (btw Montgomery & Sansome), San Francisco, CA
New American Restaurant · Jackson Square · 111 tips and reviews

DonaldDonald: I love pasta and the spaghetti in lobster sauce is AMAZING (4 of 4 petals via Fondu) Read more.

Rob D.Rob Davis: Order the Lobster Spaghetti and you will have a lifetime addiction.

Larry H.Larry Hall: Bone marrow = delish! Deviled eggs, butternut salad, lobster spaghetti, duck and truffle cheeseburger also fit into this same category. A delectable experience with amazing staff. <3

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

6. Seven Hills

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

Owen S.Owen Smith: Try the Spaghetti with sausage. Delicious!

Jessica C.Jessica Chan: I love the decor and vibe of this neighborhood restaurant! The ravioli with white truffle is so decadent. The spaghetti is also on point!

Mike O.Mike Ottavi-Brannon: Turkey meatballs, chicken and spinach tortellini, and spaghetti with grandpa George's sausage. 'Nuff said.

Bon, Nene is one of The 15 Best Places for Spaghetti in San Francisco.

7. Bon, Nene

8.8
2850 21st St (at Alabama St), San Francisco, CA
Japanese Restaurant · Mission District · 27 tips and reviews

Diana A.Diana Arz: Lovely place, good service, nice chicken and tofu sliders, pasta is disappointing. Flavors are delicious, but regular store bought spaghetti ruined the impression. Overpriced imho.

Guilherme N.Guilherme Nazareth de Souza: Mentaiko Spaghetti

Chris H.Chris H.: Second time here and another great experience. Can now highly recommend the beef curry and the champignon pasta. The chicken buns were again also great.

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

8. Nob Hill Cafe

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

JoAnne K.JoAnne Kao: Try the Spaghetti With Fresh Tomato Sauce - One of my favs

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.

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

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

9. Trattoria Da Vittorio

7.8
150 West Portal Ave, San Francisco, CA
Italian Restaurant · West Portal · 24 tips and reviews

George R.George Rosenfield: Try any pizza, mama's homemade meatballs and spaghetti, burrata all is magnifico!!

HefrainweizenHefrainweizen: This place is amazing. The spaghetti and meatballs are awesome.

Alan B.Alan Berezin: Baccalà crostini was great, scialatielli with clams was great. Don't miss out on the teramisu.

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

10. flour + water

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

abbyabby: the hits: biancoverde pizza (ask for an egg on top!), squid ink spaghetti, and chocolate budino

Odile R.Odile Roujol: Must go. Great pasta 🍝

Neoshi C.Neoshi C: Best Italian food I’ve had in a while! The taleggio pasta and pomodoro pizza were fab. 🍝 🍕

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

11. Tony’s Pizza Napoletana

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

Tom B.Tom Boone: best Spaghetti and Meatballs I've ever had.

Rocco G.Rocco Georgi: Get the Kid's meal Spaghetti Meatball - it's a rather big portion for 7 bucks.

Caren C.Caren Chang: Best spaghetti and meatballs ever. Order takeout to avoid waiting hours

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

12. a Mano

8.8
450 Hayes St (Octavia Street), San Francisco, CA
Italian Restaurant · Hayes Valley · 67 tips and reviews

Linda Y.Linda Yang: Stone fruit salad, pizza 🍕, duck mousse and strawberry mostarda, pasta 🍝 (not clam spaghettini)

Kyle M.Kyle Minor: NEW PARKLET WHO DIS 🍝 🍷 ♥️

Tom M.Tom Maxwell: Incredible pasta — the bucatini with red sauce was great. Great wait staff too

Original Joe's is one of The 15 Best Places for Spaghetti in San Francisco.

13. Original Joe's

8.2
601 Union St (at Stockton St), San Francisco, CA
Restaurant · North Beach · 107 tips and reviews

Theresa B.Theresa B: Yummy spaghetti and garlic bread

James C.James Chandler: Spaghetti meatballs is incredible (and huge). Service top notch - the waiter's son went to high school with Man City's Edin Dzeko

Lauren H.Lauren H: Love the vibe at the bar. Spinach artichoke dip is a great app

Cafe Zoetrope is one of The 15 Best Places for Spaghetti in San Francisco.

14. Cafe Zoetrope

7.5
916 Kearny St (at Columbus Ave), San Francisco, CA
Café · North Beach · 61 tips and reviews

Sarah T.Sarah Torney: The BEST spaghetti and meatballs.

Richard S.Richard Sachs: Spaghetti and meatballs, sides of spinach and mushrooms. Perfect.

Eduardo M.Eduardo Mekitarian: Nice place to eat. However, my pasta took 40 minutes to come in an empty restaurant, and worst, they made a huge mistake in my order. $23 (or more) for a spaghetti and meatballs, was not worthy.

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

15. Marcella's Lasagneria & Cucina

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

Ogi K.Ogi Kavazovic: Everyone talks about the lasagna but... their pastas are amazing. Spaghetti Vongole is my fave

Amber O.Amber Overton: Just about anything you order here is amazing! I had the pesto lasagne and it was light and perfection. Real Italian made from scratch pastas!!

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