Modern Italian

  • 96
  • 2015 Best Italian
  • 2015 Best Wine List

This two-Michelin starred Nob Hill restaurant has been the standard bearer for refined high-end Italian dining for more than 20 years. The offerings are both classic and contemporary, the dining experience is elegant and intimate, and the wine list (a Wine Spectator Grand Award winner) is robust.

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What the Food Critics are Saying

“…one of the best high-end Italian restaurants in the Bay Area” – San Francisco Chronicle

“For years, devotees of chef-owner Suzette Gresham-Tognetti's high-end but soulful Italian cooking have been swooning over her incomparable Parmesan budino (pudding). [...] Classics pepper the menu but there are also some cutting-edge touches, techniques, and flavors. Dinners are prix-fixe, with three, four, or five courses and at least six choices within each course. Tognetti also tempts with a seasonal eight-course tasting menu.

The cheese course is not to be missed, with rare cheeses from Piemonte, and other regions, rolled tableside. Co-owner Giancarlo Paterlini and his son, Gianpaolo oversee the service and the roughly 1,900-bottle list of Italian wines. The room, in a former chapel, with gorgeous wooden vaulted ceiling and terra-cotta and pale-ocher palette, is refined but never stuffy—and neither is the service. […] This is a true San Francisco dining gem that is worth every penny.” – Fodor’s

From the Chef

“I am a purist at heart. I adore food and nothing brings me greater joy than sharing my passion for Italian cuisine. Very simply, I pour my heart and soul into the dishes I create and enjoy relaying my love for food to other people.” – Suzette Gresham-Tognetti

On the Side

Acquerello is the Italian word for watercolor.


  • Two Michelin stars 2015-2017
  • One Michelin star 2009-2014
  • Semi-Finalist: James Beard Foundation, Outstanding Restaurant 2015
  • Three and a half stars from the San Francisco Chronicle
  • AAA Four Diamond 2010-2015
  • Three stars: World's Best Wine List 2014-2015- The World of Fine Wine
  • Top 100 Bay Area Restaurants 2014-2016 — San Francisco Chronicle
  • Wine Spectator Grand Award 2012-2014
  • San Francisco's Best Restaurants 2016 - Zagat
  • San Francisco's Most Popular 2016 - Zagat
  • Best Italian Restaurants in San Francisco — Zagat
  • Five of San Francisco's Most Underrated Restaurants 2013 — 7x7 Magazine
  • Top 100 Bay Area Restaurants 2011 — SF Chronicle
  • Zagat rating of 4.9 out of 5

Menu for Acquerello

Prix Fixe Menu

First Course

  • Assortment of Beets with Smoked Parsnip cocoa crumb, and fines herbs
  • Kampachi Crud with avocado mousse, cara cara orange, agresto, and pistachio
  • Black Angus Beef Tartare chickpea, beef tendon, black olive, and egg yolk
  • Snake River Farms Pork Belly with radicchio and pickled apple

Second Course

  • Cannellini Filled Cappelletti with grilled lemon, kale pesto, and pebble beans
  • Acquerello Risotto with prosecco-mussels, saffron, fennel, and osetra caviar
  • Tomato Gnocchi stracciatella, thai basil, yellow tomatoes, and aged balsamic vinegar
  • Porcini and Chanterelle Casonse with sweetbreads, roasted garlic, parmesan, and watercress
  • Tajarin with Burro Fuso and Shaved White Truffles

Third Course

  • Grilled Swordfish with beluga lentils, brussels sprouts, black garlic, and sunchoke
  • Chilean Sea Bass roasted red pepper, marcona almonds, fennel pollen, and pickled black radish
  • Grimaud Air Chilled Duck Breast spuma, roasted carrots, hazelnuts, and huckleberry
  • Pancetta Wrapped Venison Loin with butternut squash, pear, chanterelles, and red onion jam
  • Maine Lobster with smoked butter, brassicas, and anchovy-brioche crumb

Fourth Course

  • An Unusual Selection of Italian Cheeses Presented Tableside

Fifth Course

  • Flambéed Apple Gelato brown butter, lemon ricotta, yuzu meringue, and bee pollen
  • Almond Milk Panna Cotta with vin santo, poached quince, and balsamic
  • Modern Tiramisù served with warm chocolate-espresso ganache
  • Bourbon-Caramel Semifreddo amaretti crust, chocolate, and caramel sauce
  • Dark Guanaja Chocolate Sorbet with pear, pomegranate molasses, and cinnamon glass

Dessert Menu


  • A selection of Italian artisanal cheeses from the cart Suggested Wine: Perticaia, Montefalco Sagrantino Passito 2006
  • Coconut milk panna cotta with pineapple, basil, and Macadamia nuts Suggested Wine: Virgona, Malvasia delle Lipari Passito 2008
  • Chocolate mousse with sweet cream gelato, hazelnut, and vanilla foam Suggested Wine: Selvapiana, Vin Santo del Chianti Rufina 2005
  • Peach Bavarese, mango-mint gelato, black tea-lemon consommé,and almond tuile Suggested Wine: Cascina Chicco, Arneis Vendemmia Tardiva 'Arcass' 2009
  • Bourbon-caramel semifreddo, Amaretti crust, chocolate, and caramel sauce Suggested Wine: Felsina, Vin Santo del Chianti Classico 2003
  • Lychee sorbet, hibiscus gel, almond butter powder, and hibiscus crisp

Vini Da Meditazione

  • Accordini, Recioto della Valpolicella 2010
  • Cantine di Dolianova, Moscato di Cagliari 2009
  • Cappellano, Barolo Chinato NV
  • Cascina Chicco, Arneis Vendemmia Tardiva 'Arcass' 2009
  • Donnafugata, Passito di Pantelleria 'Ben Ryé 2011
  • Forteto della Luja, Brachetto 'Pian dei Sogni' 2008
  • Maculan, Breganze Bianco 'Torcolato' 2009
  • Maculan, Veneto Moscato 'Dindarello' 2011
  • Maculan, Veneto Rosso 'Madoro' 2010
  • Marcarini, Barolo Chinato NV
  • Marco De Bartoli, Marsala Superiore Oro 5 Anni
  • Marco De Bartoli, Marsala Superiore Riserva 10 Anni
  • Monte Tondo, Recioto di Soave Classico 2006
  • Paolo Saracco, Moscato d'Asti 2013
    375 Ml. $24.00
  • Virgona, Malvasia delle Lipari Passito 2008
  • Felsina, Vin Santo del Chianti Classico 2003
  • Fontodi, Vin Santo del Chianti Classico 2001
  • Selvapiani, Vin Santo del Chianti Rufina 2005
  • Emilio Lustau, Sherry, Moscatel 'Las Cruces' 100 year
  • Fonseca, Vintage Port 1983
  • Fonseca, Vintage Port 'Guimaraens' 1991
    375 Ml. $68.00
  • Graham's, Port 'Quinta Dos Malvedos'1999
    375 Ml. $55.00
  • Graham's, Port 'Six Grapes'
  • Graham's, Vintage Port 1994
  • Sandeman, Tawny Port, 10-Year Old
  • Taylor Fladgate, Tawny Port, 20-Year Old
  • Blandy's, Madeira, Bual 1968
  • Blandy's, Madeira, Malmsey, 10-Year Old
  • Caffé, Portioli
  • Espresso, Portioli
  • Cappuccino, Portioli

Truffle Tasting Menu

Seasonal Tasting Menu

  • Parmesan budino with truffle perlage. Wine pairing: Ferrari, Trento Brut NV
  • Truffled leek torta with lobster mushrooms, walnut, sunchokes, and vegetable glaze. Wine pairing: La Colombera, Timorasso Colli Tortonesi 'Derthona' 2011
  • Swiss chard ravioli with quail egg in Parmesan brodo and shaved white truffles. Wine pairing: Kante, Chardonnay Venezia Giulia 2012
  • Coda alla Vaccinara braised oxtail, Chanterelle mushrooms, golden raisin, bone marrow, and shaved dark chocolate. Wine pairing: Gulfi, Nero d'Avola Sicilia 'Nerojbleo' 2010
  • Ridged pasta with foie gras, black truffle, and Marsala
  • Lamb loin with green onion, roasted garlic, and pistachio crisp. Wine pairing: Casanuova delle Cerbaie, Brunello di Montalcino 2006
  • Perlagrigia porcini pasta frolla, caramelized onion, and chestnut. Wine pairing: La Distesa, Verdicchio 'Terre Silvate' 2013
  • White truffle gelato
  • Chocolate trunk candied orange-Chantilly, pistachio and hazelnu. Wine pairing: Marco De Bartoli, Marsala Superiore Riserva 10 Anni NV

1722 Sacramento Street
San Francisco, CA 94109

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  • Price Range: $$$$$
    Atmosphere: Refined, Romantic, Upscale
  • Dress Code: Dressy
    Good For: Foodies, Quiet Conversation, Special Occasion
  • Noise Level: Quiet
  • Wine Spirits: Wine/Beer Only
    Phone: (415) 567-5432
  • Private Dining Room: Yes