50 Best Old-School Italian Restaurants in America

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Hankering for Italian food? There's no shortage of cheap, delicious pizza across America, but sometimes something that demands a little more finesse, like veal parmigiana or ravioli heaped with red sauce, is required. Whether they're hidden gems known mainly to locals or historic landmarks that have been open for decades, we've tracked down the best old-school Italian restaurant in every state.

Joe's Italian in Alabaster, Alabama
Photo credit: JoesItalianAlabaster/facebook.com

City: Alabaster
A short drive south on I-65 from Birmingham, Joe's is off the beaten path but worth the drive, reviewers say. Fans say staples like lasagna and spaghetti are solid, but Joe's is best known for its impressive selection of cakes and desserts. Pro tip: Get the strawberry cake.

Sorrento's in Anchorage, Alaska
Photo credit: Stephanie M./yelp.com

City: Anchorage
A local favorite for more than 40 years, cozy Sorrento's proves great Italian has made its way to Alaska. Reviewers rave about the traditional pastas, but you'll also find a few halibut dishes in a nod to local cuisine.

DeFalco's Italian Eatery and Grocery in Scottsdale, Arizona
Photo credit: DefalcosItalianEatery/facebook.com

City: Scottsdale
Whether you just want to stop in to buy some homemade sausage or sit down to a plate of pasta, DeFalco's has family recipes dating back more than 100 years. Devotees say you can't beat the calzones or the Italian combo subs.

Venesian Inn in Tontitown, Arkansas
Photo credit: Jackie F./yelp.com

City: Tontitown
Proudly serving northwest Arkansas since 1947, the family-owned Venesian Inn serves up classic Italian fare like chicken parmigiana and three-cheese lasagna. Try out a local favorite: fried chicken and spaghetti with meat sauce.

Fior d'Italia in San Francisco, California
Photo credit: Ann S./yelp.com

City: San Francisco
Fior d'Italia opened in 1886 and claims to be America's oldest Italian restaurant -- even reopening in a tent after the catastrophic 1906 San Francisco earthquake. Today the landmark retains its old-school charm, Zagat says. The osso bucco earns particular raves.

Gaetano's in Denver, Colorado
Photo credit: Gaetano's/yelp.com

City: Denver
Gaetano's and its mob-connected owners set up shop in Denver in 1947, kicking off a colorful history: Frank Sinatra even played poker in the basement. The Denver Post recommends the minestrone to start, followed by pasta carbonara. Brunch also gets high marks.

Consiglio's in New Haven, Connecticut
Photo credit: consiglios/facebook.com

City: New Haven
A New Haven staple for more than 70 years, Consiglio's is still family-run and stands out with a few modern flourishes: A food truck that brings authentic Italian fare to local events, and Murder Mystery dinners to entertain customers. It's still the food that rules: Reviewers say the homemade cavatelli with braciole can't be beat.

Mrs. Robino's in Wilmington, Delaware
Photo credit: MrsRobinos/facebook.com

City: Wilmington
Mrs. Robino's is a Best of Delaware award winner that has been serving traditional Italian favorites since 1940. Crab lovers take note: Thursday has a special menu including crabs and spaghetti, which comes highly recommended by diners.

La Locanda in Miami, Florida
Photo credit: LaLocandaSobe/facebook.com

City: Miami
La Locanda is a down-to-earth joint that has been pleasing diners looking for simple, authentic Italian fare in rendy Miami Beach. Thrillist raves that the "thin-crust pizzas are beyond compare," and other reviewers say you shouldn't miss the tiramisu.

Nino's in Atlanta, Georgia
Photo credit: Lexi W./yelp.com

City: Atlanta
Nino's, opened in 1968 and claims to be the oldest family-owned Italian restaurant in Atlanta. It also has an impressive roster of celebrity guests, including Paul Newman and Kenny Rogers. Zagat praises the "red-sauce fare with old-time flair," awarding particularly high marks for both food and service.

Café Sistina in Honolulu, Hawaii
Photo credit: David C./yelp.com

City: Honolulu
The Northern Italian food is top-notch, but customers also appreciate the hand-painted floor-to-ceiling copies of Michelangelo's frescoes at cozy Café Sistina. Gayot recommends sticking to the menu's traditional staples, like a starter of bruschetta followed by the linguine alla putenesca.

Luciano's in Boise, Idaho
Photo credit: Jared V./yelp.com

City: Boise
Popular Luciano's bills itself as "Boise's favorite hole-in-the-wall local Italian restaurant," and TripAdvisor reviewers confirm that it's a great place for a classic, unpretentious meal. Dinner often comes with a wait (reservations aren't accepted), but diners say the pasta and warm ciabatta are worth the wait.

Sabatino's in Chicago, Illinois
Photo credit: Jaime G./yelp.com

City: Chicago
Stepping into Sabatino's is like an automatic time warp. There's a bow-tie-wearing staff, live music, and a supper-club feel, plus diners say the complimentary pizza bread is a nice bonus. It's only fitting that an old-school dish like veal earns the most raves from reviewers.

Iaria's in Indianapolis, Indiana
Photo credit: Erin B./yelp.com

City: Indianapolis
Iaria's, opened in 1933 and is the very definition of an old-school, hole-in-the-wall Italian joint with its red booths and neon signs. Diners say the lasagna and cannoli are both worth a trip, and the red sauce is a winner for anyone who likes it on the sweeter side.

Tursi's Latin King in Des Moines, Iowa
Photo credit: Andrea T./yelp.com

City: Des Moines
Tursi's Latin King has been serving authentic Italian in Des Moines since 1947, and has scores of "Best Italian" awards from locals. Don't leave without trying their specialty, chicken spiedini: It's marinated chicken breast that has been rolled in breadcrumbs, charbroiled, and is served up with a special sauce.

Savute's in Wichita, Kansas
Photo credit: Savute's Italian Ristorante/yelp.com

City: Wichita
Opened in 1944, family-owned Savute's has reportedly fed Elvis Presley and other luminaries. A dive in the best sense of the word, the dinner-only restaurant also churns out respectable steaks, though reviewers say traditional red-sauce favorites like lasagna and spaghetti are your best bet.

Pompilio's in Newport, Kentucky
Photo credit: Brenda B./yelp.com

City: Newport
Trolleys bound for Cincinnati used to clack by the doorway of Pompilio's when it opened in 1933, and its storied history continues: Everyone from gangsters to Marilyn Monroe are said to have eaten here. It even played host to a famous scene in "Rain Man." Fortunately, the food is still up to snuff – the cannoli in particular, fans say.

Vincent's in New Orleans, Louisiana
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City: New Orleans
Vincent's serves up Sicilian-inspired grub in an elegant but low-key atmosphere in Cajun country. Customers say the house-special cannelloni doesn't disappoint, and neither does the extensive wine list.

Maria's in Portland, Maine
Photo credit: MariasRistorantePortland/facebook.com

City: Portland
Established in 1960, Maria's is still a family-run business catering to Mainers who want an authentic Italian meal. Maine Today raves about the "creamy marinaras," though it does warn to expect an interior "awash in Neapolitan kitsch." The veal is a popular dinner choice.

Aldo's in Baltimore, Maryland
Photo credit: AldosItaly/facebook.com

City: Baltimore
Elegant Aldo's in Baltimore's Little Italy manages to bring a more upscale, romantic feel to old-world Italian dining. The osso bucco and all of the veal dishes are standouts, fans say, but those in the mood for a splurge might want to try the signature Tournedos Rossini -- grilled filet mignon and seared foie gras in a truffle wild mushroom sauce.

La Famiglia Giorgio's in Boston, Massachusetts
Photo credit: Andrew B./yelp.com

City: Boston
Tucked alongside scores of other Italian joints in Boston's famed North End, La Famiglia Giorgio still manages to stand out with its heaping portions of Roman cooking, served family-style. Diners say one way to save is by coming at lunch and getting the generously portioned sampler of five different dishes for just $8. Save room for cannoli, they recommend.

Giovanni's in Detroit, Michigan
Photo credit: Ron C./yelp.com

City: Detroit
Tucked in an industrial area of Detroit, decades-old Giovanni's is worth tracking down if only to see the spot where Frank Sinatra once had a private dinner party. Happily, the food is worth the trek, reviewers say. If you don't fill up on the lasagna and warm, crusty garlic bread, find some room for the cannoli.

Cossetta's Alimentari in St. Paul, Minnesota
Photo credit: Marisa R./yelp.com

City: St. Paul
Cossetta's has morphed from a tiny Italian market that opened in 1911 into a destination that includes two restaurants, a pastry shop, and a (much bigger) market. Devotees say the food has stayed true to its old-world roots, though. They recommend the sausage and peppers, plus a heaping portion of gelato.

The Sicilian II in Biloxi, Mississippi
Photo credit: biloxipizza/facebook.com

City: Biloxi
The Deep South may be known for barbecue, but The Sicilian II proves you can find authentic Italian if you look hard enough – in this case, tucked in an unassuming little strip mall. This family-owned dive churns out delicious pizza, fans say, and the homemade mozzarella sticks are more than worth the stop.

Charlie Gitto's on the Hill in St. Louis, Missouri
Photo credit: Fern R./yelp.com

City: St. Louis
Charlie Gitto's has been serving traditional Italian food in St. Louis since 1981. Elegant enough for a special occasion, the restaurant still serves truly authentic dishes. Don't miss the toasted ravioli, one of the house specialties. Diners also praise the veal dishes, seafood pasta, and cannoli.

ScottiBelli's in Kalispell, Montana
Photo credit: Courtesy of tripadvisor.com

City: Kalispell
Though it only just opened its doors in 2009, the Naples-born chef has quickly made ScottiBelli's a go-to spot for old-school Italian fare in Big Sky Country. Reviewers recommend the lasagna for traditionalists, but adventurous diners should try the vongole marinate, a sourdough-covered twist on Italian steamed clams.

Orsi's Italian Bakery and Pizzeria in Omaha, Nebraska
Photo credit: Paul R./yelp.com

City: Omaha
A trip to Orsi's, founded in 1919, is a trip back in time, devotees say, and they wouldn't have it any other way. The thick-crust pizza and garlic bread are worth the trip alone, but don't leave without picking up some meat, cheese, bread, or peppers at the deli.

Battista's Hole in the Wall in Las Vegas, Nevada
Photo credit: Tina R./yelp.com

City: Las Vegas
With its red leather booths, memorabilia-covered walls and a strolling accordion player, Battista's has old Italian atmosphere in spades. Along with a main entrée, all dinners include soup or salad, garlic bread, a side of pasta and cappuccino. Diners certainly appreciate the large carafes of free house wine, too.

Trattoria Amalfi in Salem, New Hampshire
Photo credit: TrattoriaAmalfi/facebook.com

City: Salem
It's easy to zip right past Trattoria Amalfi, which is wedged into a strip mall. But that would be a shame, devotees say, because the food is fantastic despite the unassuming setting-- some even compare it to Italian restaurants in Boston's North End. The stuffed artichoke and veal dishes come highly recommended.

Spano's in Point Pleasant Beach, New Jersey
Photo credit: SpanosRistoranteItaliano/facebook.com

City: Point Pleasant Beach
Much-lauded Spano's has pleased a lot of palates since opening in 2000 – it won the reader's choice award for best Italian restaurant in New Jersey from NJ.com, and chef Joe Spano was named "Boss of the Sauce" in 2004 for his marinara. Wine lovers can grab a bottle on the way in, as Spano's is B.Y.O.B.

Joe's Pasta House in Rio Rancho, New Mexico
Photo credit: Marissa H./yelp.com

City: Rio Rancho
In a state where Southwestern fare takes center stage, Joe's Pasta House offers an oasis of Italian just north of Albuquerque. Go traditional with a dish like carbonara, ziti alla vodka or gnocchi, or try the well-reviewed Southwestern fettucine, which has green chile and crushed red peppers for a local twist.

Mario's in New York City, New York
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City: New York City
It's almost impossible to choose just one old-school Italian restaurant in New York, but Bronx favorite Mario's tops the list because it's been serving up crowd-pleasing Neapolitan dishes for 92 years. Luckily, the place is still unassuming enough for its longtime regulars. Reviewers say veal dishes are top-notch.

Di Lisio's in Winston-Salem, North Carolina
Photo credit: Nate H./yelp.com

City: Winston-Salem
Though it's only a few years old, Di Lisio's Naples-born owner has made his young restaurant a success among diners searching for authentic Italian food in the Triad area. Reviewers say the seafood dishes are delicious, but the lasagna and anything with meat sauce also inspire a lot of praise.

Toscana in Fargo, North Dakota
Photo credit: Easy C./yelp.com

City: Fargo
North Dakota doesn't have a slew of old-world Italian joints, but the Italian-born chef might make you forget that inside cozy, gold-walled Toscana. Reviewers give this restaurant top marks for service and say the pasta dishes, just one portion of the extensive menu, are solidly delicious.

Guarino's in Cleveland, Ohio
Photo credit: Willainia S./yelp.com

City: Cleveland
There's no doubting Guarino's longevity: It's Cleveland's oldest restaurant, founded in 1918 as a speakeasy. The traditional fare and old-school marinara remain unchanged, as does the wood-paneled interior. Try to nab a seat on the lovely patio in nice weather, reviewers recommend.

Villa Ravenna in Tulsa, Oklahoma
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City: Tulsa
Opened by immigrants from northern Italy, Villa Ravenna has the ambiance of a special-occasion restaurant and the classic comfort food of a red-sauce Italian joint. Enthusiastic diners say the pear gorgonzola appetizer is the one to beat; they also recommend the osso bucco for a main dish.

Piazza Italia in Portland, Oregon
Photo credit: Christina L./yelp.com

City: Portland
Piazza Italia is waiting with open arms for those who tire of Portland's contemporary farm-to-table restaurants. A prime spot to catch a soccer game on TV, the restaurant is family-run and a great place to dig into Pappardelle al Cinghiale -- that's pasta with wild boar meat sauce -- or tiramisu.

Ralph's in Philadelphia, Pennsylvania
Photo credit: RalphsItalianRestaurant/facebook.com

City: Philadelphia
Competition is stiff among Philadelphia's old Italian joints, but venerable Ralph's in South Philly may still be the one to beat: It opened in 1900 and has counted Frank Sinatra, Taylor Swift, and Joe Biden as customers. Reviewers' favorites include the mussels, veal parm, and cannoli cake for dessert.

Joe Marzilli's Old Canteen in Providence, Rhode Island
Photo credit: Joe Marzilli's Old Canteen/yelp.com

City: Providence
Old-school neon sign hints that Joe Marzilli's, founded in 1956, is the real deal in Providence. This high-class throwback has remained largely unchanged since opening, with pink walls and high ceilings. Diners say the menu is huge and full of favorites, including a seven-course option that makes for a hearty, well-priced meal.

Villa Romana in Myrtle Beach, South Carolina
Photo credit: Elle H./yelp.com

City: Myrtle Beach
Visitors to one of the nation's biggest tourist hotspots can fill up with some authentic Italian at Villa Romana, which has been serving Myrtle Beach since 1985. Reviewers say it's hard to go wrong the veal marsala or the cannoli, and they love the accordion player who is often strolling around to entertain diners, too.

Botticelli in Rapid City, South Dakota
Photo credit: Aleaha G./yelp.com

City: Rapid City
Elegant but comfortable Botticelli has an enviable wine list -- more than 200 selections -- and the traditional Italian favorites to match. Fans say the chicken dishes and lasagna are all stand-outs, while lunch specials offer a good value for weekday meals.

Caffe Nonna in Nashville, Tennessee
Photo credit: Melody F./yelp.com

City: Nashville
Named after the chef's grandmother, Caffe Nonna has been serving up from-scratch Italian dishes for 18 years. Reviewers give high marks to the house-specialty Seafood Angelina, which includes shrimp, scallops, baby clams and mussels on fettuccini in a white-wine cream sauce.

Saviano's Italian Kitchen in Euless, Texas
Photo credit: Ryan M./yelp.com

City: Euless
Sandwiched between Dallas and Fort Worth, family-owned Saviano's has been dishing out its tried-and-true recipes since 1992. The beloved garlic knots come complimentary with salads and main courses. Reviewers warn that you'll want to save room for favorites including lasagna and penne alla vodka, however.

Cannella's in Salt Lake City, Utah
Photo credit: Lilian O./yelp.com

City: Salt Lake City
Cozy Cannella's has a more polished feel than most old-school Italian restaurants, but this family-run restaurant has been around for almost 40 years. Best of all, the dishes are as authentic as ever. Popular dishes include the chicken marsala and carbonara, and the lasagna gets a thumbs-up, too.

Sarducci's in Montpelier, Vermont
Photo credit: Michelle J./yelp.com

City: Montpelier
Busy Sarducci's offers lovely views of the Winooski River while serving homestyle Italian fare. The restaurant does accept reservations, and frequent diners say it's a good idea to make one to avoid a wait. Favorites include the crab ravioli with shrimp and the thin-crust pizza.

Mamma 'Zu in Richmond, Virginia
Photo credit: Kristen B./yelp.com

City: Richmond
Tiny Mamma 'Zu epitomizes the phrase "hole in the wall," and diners will have to check the large chalkboard menu for the day's selections. Service is also inconsistent, some warn. But many fans say the food is worth the quirks. Try the scungilli (conch in olive oil and garlic) and the tender osso bucco, while others recommend the eggplant parmesan.

Ristorante Machiavelli in Seattle, Washington
Photo credit: Mj V./yelp.com

City: Seattle
A staple of Seattle's Capitol Hill neighborhood since 1988, unassuming Ristorante Machiavelli has endured despite being in a city known for its fast-moving food trends. Follow up the inevitable wait with a plate of spinach ravioli, devotees say, but save some room for the tiramisu.

Muriale's Italian Kitchen in Fairmont, West Virginia
Photo credit: Diana C./yelp.com

City: Fairmont
Family-owned Muriale's opened in 1969, and its traditional Italian staples remain largely unchanged. Diners praise the attentive service and generous portions that often leave them asking for a take-home box. For an easy way to taste a range of the restaurant's favorites, try the "Taste of Italy" -- lasagna, rigatoni, ravioli and a meatball for under $20.

Balistreri's in Milwaukee, Wisconsin
Photo credit: BalistrerisMke/facebook.com

City: Milwaukee
Balistreri's has two locations a few blocks from one another, but for a real old-world, unpretentious atmosphere, head to the 68th Street joint where it all began 40 years ago. The crispy, thin-crust pizza rules here, but the fried eggplant also earns raves. For more upscale fare, the Bluemound Inn location has an extensive menu of classics.

L'Osteria Mondello in Cheyenne, Wyoming
Photo credit: Lee P./yelp.com

City: Cheyenne
Many devotees say the pizza at L'Osteria Mondello is the best in town, and you can easily pick up a pie or down a slice in the pizzeria up front. But venture to the back of the restaurant and you'll find a quaint, sit-down restaurant serving Italian standards from pasta and seafood dishes to chicken and veal.

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