Best Italian Restaurants in Lancaster County, PA

Written by: RJ Weaver

Last Updated:

Featured Business

Old Barn Creamery interior with loft and lights - Holtwood, PA

Old Barn Creamery

Old Barn Creamery & Bakery is a top-rated business in Lancaster County, based on ratings, reviews, and location.
Holtwood
Fresh from the farm, hand-dipped ice cream · Homemade baked goods · Fresh dairy products · A2A2 raw milk · Homemade bottled drinks · Cheese · Açaí bowls · Breakfast sandwiches · Soft pretzels · Espresso drinks · Eggs
Great breakfast stop
Beautiful country setting
Very reasonable prices
There’s something for everyone at Old Barn Creamery — ice cream, baked goods, drinks, breakfast sandwiches, etc. Our personal favorite is the homemade oatmeal whoopie pies. Highly recommend this place if you’re in the area or you're searching for your next favorite shop.

Get Directions

(717) 974-3062

Hours

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Lanc Local analyzed 53,597

local customer reviews and metrics to find the best Italian Restaurants

Lancaster County, PA

has to offer.

These rankings are curated by our team of Lancaster County locals -- real people, not an algorithm, not AI. We analyze customer feedback from online reviews to uncover businesses and attractions that are highly rated but not necessarily well-known.

Best Italian Restaurants

in Lancaster County, PA

Nonna Rosa Traditional Italian Kitchen: Akron Restaurants

Nonna Rosa Traditional Italian Kitchen

Akron
Lanc Local Rating: 94 / 100
Osteria Avanti: Leola Restaurants

Osteria Avanti

Leola
Lanc Local Rating: 94 / 100
Gargano's Pizzeria & Deli: East Petersburg Restaurants

Gargano’s Pizzeria & Deli

East Petersburg
Lanc Local Rating: 94 / 100
Piccolo Eatery: Lititz Restaurants

Piccolo Eatery

Lititz
Lanc Local Rating: 94 / 100
Brooklyn Pizza - Grill: Lancaster Restaurants

Brooklyn Pizza – Grill

Lancaster
Lanc Local Rating: 92 / 100
Two Cousins Pizza Ristorante Italiano: Stevens Restaurants

Two Cousins Pizza Ristorante Italiano

Stevens
Lanc Local Rating: 92 / 100
DiMaria's Pizza And Italian Kitchen: Ephrata Restaurants

DiMaria’s Pizza And Italian Kitchen

Ephrata
Lanc Local Rating: 92 / 100
Rosario's Italian Restaurant & Pizzeria: Leola Restaurants

Rosario’s Italian Restaurant & Pizzeria

Leola
Lanc Local Rating: 92 / 100
Gibraltar Restaurant: Lancaster Restaurants

Gibraltar Restaurant

Lancaster
Lanc Local Rating: 92 / 100
Little Italy Italian Restaurant: Bainbridge Restaurants

Little Italy Italian Restaurant

Bainbridge
Lanc Local Rating: 92 / 100
Giovanni's Italian Restaurant: Reinholds Restaurants

Giovanni’s Italian Restaurant

Reinholds
Lanc Local Rating: 92 / 100
Caruso's Italian Restaurant: Lititz Restaurants

Caruso’s Italian Restaurant

Lititz
Lanc Local Rating: 92 / 100
Randazzo's: Manheim Restaurants

Randazzo’s

Manheim
Lanc Local Rating: 92 / 100
DiMaria's NY Pizza and Italian Restaurant: Mount Joy Restaurants

DiMaria’s NY Pizza and Italian Restaurant

Mount Joy
Lanc Local Rating: 92 / 100
Bacio Pizza Italian Grill: Manheim Pizza Restaurants

Bacio Pizza Italian Grill

Manheim
Lanc Local Rating: 92 / 100
Leola Pizza: Leola Restaurants

Leola Pizza

Leola
Lanc Local Rating: 92 / 100
The Pizza House: Ephrata Restaurants

The Pizza House

Ephrata
Lanc Local Rating: 92 / 100
Pizza Boli's: Lancaster Restaurants

Pizza Boli’s

Lancaster
Lanc Local Rating: 92 / 100
LUCA: Lancaster Restaurants

LUCA

Lancaster
Lanc Local Rating: 90 / 100
Palermo Pizza & Italian Restaurant: New Holland Restaurants

Palermo Pizza & Italian Restaurant

New Holland
Lanc Local Rating: 90 / 100
A&M Pizza Manheim: Manheim Pizza Restaurants

A&M Pizza Manheim

Manheim
Lanc Local Rating: 90 / 100
Ciro's Italian Bistro: Lancaster Restaurants

Ciro’s Italian Bistro

Lancaster
Lanc Local Rating: 90 / 100
Two Cousins Pizza Paradise: Paradise Restaurants

Two Cousins Pizza Paradise

Paradise
Lanc Local Rating: 90 / 100
Dolce Vita Pizzeria & Grill: Quarryville Restaurants

Dolce Vita Pizzeria & Grill

Quarryville
Lanc Local Rating: 90 / 100
Strasburg Pizza: Strasburg Restaurants

Strasburg Pizza

Strasburg
Lanc Local Rating: 90 / 100

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