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Ranked by verified ratings, mentions, and signature picks
Italian · Dogpatch · $$
Classic Roman carbonara prepared daily.
Italian · Inner Richmond · $$
Classic Roman pasta with guanciale, egg yolk, pecorino
Italian · Russian Hill · $$
Rich, peppery; available gluten-free.
Pasta · Nob Hill · $$$
Classic carbonara finished tableside in a cheese wheel.
Italian · North Beach · $$
Perfectly al dente spaghetti in a creamy, savory egg‑and‑pork sauce that many reviewers singled out
Italian · Pacific Heights · $$
A classic Roman preparation using egg, pancetta, and Pecorino cheese for a creamy, salty finish.
Oyster Bar · Fisherman's Wharf · $$$
Pizza · North Beach · $$
Classic carbonara with that creamy egg-parmesan sauce clinging to each strand — solid rendition of the Roman staple
