Pastas.

5 rankings across San Francisco, built from 52 scored dishes. Pick the exact pasta you want — each ranking compares only that dish.

Best Lasagnas 20 dishes ranked Baked layered pasta: flat sheets stacked with ragù or vegetables, ricotta or béchamel and melted cheese, cut into a square. Meat, cheese, spinach and vegetable builds all belong here.

#1 Lasagna di Carne Amarena · Russian Hill 9.7 High confidence
Best Carbonaras 9 dishes ranked Spaghetti or another long pasta bound in an emulsion of egg, hard sheep's or cow's-milk cheese and rendered cured pork — guanciale in the Roman original, pancetta or bacon locally — finished with coarse black pepper. Many South Bay kitchens add cream; the ranking says which do.

#1 Mezze Maniche alla Carbonara Ideale · North Beach 8.4 Medium confidence
Best Fettuccine Alfredos 9 dishes ranked Pasta — usually fettuccine — bound in a butter-and-Parmesan emulsion, which in almost every South Bay kitchen means a cream sauce finished with garlic and nutmeg. Ordered as often with chicken or shrimp as plain, and the South Bay's version is a comfort plate rather than the Roman burro-e-parmigiano original.

#1 Fettuccini + Roasted Garlic Alfredo Emmy's Spaghetti Shack · Bernal Heights 8.1 Limited data
Best Bologneses 7 dishes ranked A slow-simmered meat ragù — beef, often with pork or veal, softened onion, carrot and celery, tomato and a long cook — served over tagliatelle, pappardelle, spaghetti or another pasta. The plate the kitchen calls Bolognese or ragù, not a generic meat sauce.

#1 Tagliatelle Bolognese North Beach Restaurant · North Beach 7.7 Medium confidence
Best Cacio e Pepes 7 dishes ranked Rome's three-ingredient pasta: pecorino romano, coarsely cracked black pepper and starchy pasta water whipped into a glossy sauce — no cream, no egg, no meat. Usually spaghetti, tonnarelli or bucatini, and often finished tableside inside a hollowed parmigiano wheel. South Bay kitchens vary: a few swap in parmigiano and butter, or a pepper-cream sauce, so each listing says what it actually is.

#1 Cacio e Pepe Roma Antica · Cow Hollow 8.1 Limited data