Best Italian Restaurants in Hilton Head Island, SC
Michael Anthony’s and Nunzio suit a night out, Stellini is the family-owned Jersey-style room and Local Pie does wood-fired pizza.
Italian dinners for a night out
White tablecloths and warm walls, with pasta and desserts made fresh every day.
Southern Italian cooking built on local ingredients; executive chef and co-owner Nunzio Patruno and his brother Angelo, the chef de cuisine, run the kitchen.
A brick, white-tablecloth room in the Village at Wexford, locally shortened to Ombra HHI.
Chef-owned southern Italian dinners, voted the Lowcountry’s best Italian restaurant in 2025 and 2026.
A small restaurant where a chef trained in Calabria makes pasta, sauces and desserts in house.
Family-run and neighborhood Italian
A family-owned, Jersey-style Italian dinner room open for more than 30 years, with an early-bird menu.
A family-run Italian restaurant for about 35 years, with baked pastas and New York-style hearth pizza.
A breakfast and lunch cafe that turns into an Italian restaurant Wednesday to Saturday evenings.
Pizza and pasta, casual
About this list
Italian food is one of the island’s strongest suits, and it comes in three styles: dressy chef-owned dinners with house-made pasta, family-run neighborhood rooms with red sauce and early-bird prices, and casual pizza and pasta counters. Most of the best-known dinner rooms cluster around New Orleans Road and Executive Park Road on the south end.
Each of these Italian restaurants on Hilton Head Island, South Carolina, is listed with its area, price range and phone number. Looking only for a pie? See the pizza guide.
More ways to choose where to eat
Pizza Hilton Head guide: wood-fired, thin-crust, New York, Chicago and hearth pizza places, plus which ones deliver, with phone numbers.
Upscale casual dining on Hilton Head Island: celebration dinners, bistros and harbor views, with what each restaurant is known for and how to book.
Kid friendly restaurants Hilton Head Island: playgrounds, lawn games, kids menus, game rooms and early-bird dinners for a family vacation.
Every Italian restaurant on the island in one list, with ratings, phone numbers and how to reserve.
Frequently Asked Questions
Updated
What is the best Italian restaurant on Hilton Head Island?
Coastal Capri Ristorante was voted the Lowcountry’s best Italian in 2025 and 2026, and Michael Anthony’s, Nunzio and Ombra are the other dressy Italian dinners on the island.
Which Italian restaurants take reservations?
Michael Anthony’s, Nunzio, Ombra, Coastal Capri, Gusto and Local Pie take online reservations; Stellini and Piatti take reservations by phone.
Is there Italian food that is easy on the budget?
Bella Italia, Mangiamo’s, Local Pie and the pizza counters serve pizza and pasta at casual prices, and Stellini has an early-bird menu.
Is there gluten-free pasta on Hilton Head?
Nunzio, Piatti, Ombra and Michael Anthony’s mention gluten-free pasta or entrées. Ask about how it is prepared if you have celiac disease.
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