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Be the first local to put Italian in San Antonio on the map. Your Top 5 anchors the City Consensus for everyone who comes next.
Start a Top 5 for ItalianEditor’s picks
Press picks, until locals rank their own Top 5s. Sourced from the local food press. As seen in San Antonio Current. Updated August 2026.
Paesanos Riverwalk · River Walk
An iconic River Walk Italian: sophisticated but relaxed, with a riverside patio.
Aldino at The Vineyard - Italian Restaurant In San Antonio · North Central
20+ years of traditional cooking: fresh daily pasta and live-fire grilled meats.