Italian Restaurants in Hilton Head Island, SC

Italian food is one of Hilton Head Island’s strongest suits, from chef-owned dinners to red-sauce family rooms and pizza counters.
Italian dinners for a night out







Family-run and neighborhood Italian





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 restaurant below 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.
The best restaurants in Hilton Head Island, sorted by dinner, lunch and breakfast, with the area, phone number and reservation link for every listing.
Frequently Asked Questions
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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