Italian Restaurants in Hilton Head Island, SC

The dining room at Piatti with red leather booths and a painted mural of Roman ruins on the wall

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

White tablecloths and warm walls, with pasta and desserts made fresh every day.

4.6 ★ (1.2K)· $$$$

Southern Italian cooking built on local ingredients; owner-chef Nunzio Patruno and his son Angelo run the kitchen.

4.6 ★ (803)· $$$$

A brick, white-tablecloth room in the Village at Wexford, locally shortened to Ombra HHI.

4.6 ★ (316)· $$$$

Chef-owned southern Italian dinners, voted the Lowcountry’s best Italian restaurant in 2025 and 2026.

4.5 ★ (489)· $$$

Northern Italian dinner from a chef from Rome, including osso buco.

4.7 ★ (193)· $$$

Homemade pasta and fresh bread in a mural-lined room; dinner only, Monday through Saturday.

4.6 ★ (792)· $$$

A small restaurant where a chef trained in Calabria makes pasta, sauces and desserts in house.

Family-run and neighborhood Italian

4.5 ★ (650)· $$$

A family-owned, Jersey-style Italian dinner room open for more than 30 years, with an early-bird menu.

4.2 ★ (537)· $$

A family-run Italian restaurant for about 35 years, with baked pastas and New York-style hearth pizza.

4.7 ★ (725)· $$

A breakfast and lunch cafe that turns into an Italian restaurant Wednesday to Saturday evenings.

4.5 ★ (2.5K)· $$$

A steakhouse lounge with Italian dishes on an American menu.

4.7 ★ (240)· $$$$

A New York-style Italian restaurant in Coligny Plaza with handmade pasta.

Pizza and pasta, casual

4.3 ★ (1.2K)· $$

Wood-fired pizza and garlic knots, billed as the Lowcountry’s first wood-fired pizza.

Thin-crust pizza, pasta and wings in an Ohio State-themed room.

The Sea Pines location of the pizza-and-pasta favorite.

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.

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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