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Ranked by verified ratings, mentions, and signature picks
New American · North Beach · $$$$
Handmade tortellini with a delicate, rich filling — a single bite that has achieved cult status among SF diners
Pasta · Mission District · $$$$
Italian · North Beach · $$
Pizza · West of Twin Peaks · $$$
Pasta · The Castro · $$$
Italian · Alamo Square · $$$
Signature housemade pasta perfectly coated in a rich, silky cream sauce.
Pasta · Union Street · $$
Ring-shaped pasta filled with pork loin, prosciutto, mortadella, and parmigiano
Italian · North Beach · $
Prosciutto-filled tortellini, often recommended with a pesto or butter-sage sauce, offering a rich and savory bite.
Italian · Russian Hill · $$$
Earthy tortellini finished with fresh black truffle shaved tableside
Italian · North Beach · $$$
Tortellini filled with peas and prosciutto, served in a creamy sauce.
Italian · Dogpatch · $$$
Sweet‑and‑savory tortellini—balanced and comforting
Italian · Marina District · $
Hand-made tortellini, sold fresh from the deli case.
Pizza · Ingleside · $$
Cheese tortellini in a white pesto sauce with grilled chicken.
