Italian Restaurants in Frederick MD | Best Pasta & Pizza

The best Italian restaurants in Frederick MD range from house-made pasta at Tempo Di Pasta and Manalú to wood-fired Neapolitan pizza at Cugino Forno and Pistarro's, plus downtown ristorantes like Il Porto and Cucina Massi. Whether you want a quick slice, a casual family dinner, or a romantic plate of fresh pasta, Frederick's Italian scene delivers. Here are the top verified picks with addresses, ratings, and what to order.

8 Best Italian Restaurants in Frederick MD

1. Tempo Di Pasta

Address: 244 E Church St, Frederick, MD 21701 · Cuisine: Italian / Fresh Pasta · Price: $$ · Rating: 4.9/5 (465 reviews)

Frederick's highest-rated Italian restaurant builds its menu around house-made pasta turned out fresh daily. The intimate East Church Street dining room and from-scratch sauces make it a favorite for date nights and special meals. With a near-perfect 4.9★ average, it is the place locals send visitors who want serious Italian cooking — reserve ahead, as the small space books up fast.

2. Manalú Italian Restaurant

Address: 5227 Presidents Ct, Frederick, MD 21703 · Cuisine: Italian · Price: $$ · Rating: 4.7/5 (1,974 reviews)

The most-reviewed Italian restaurant in Frederick, Manalú pairs traditional recipes with consistent, polished service. Nearly 2,000 reviews back its 4.7★ average, making it one of the most reliable Italian tables in the county. Expect classic pastas, hearty entrées, and a comfortable setting that works for families and couples alike.

3. Cugino Forno Frederick

Address: 1705 N Market St Suite 100, Frederick, MD 21701 · Cuisine: Neapolitan Pizza · Price: $$ · Rating: 4.8/5 (1,167 reviews)

Cugino Forno fires true Neapolitan pizzas in a wood-burning oven, producing the puffy, leopard-spotted crust the style is known for. The fast-casual format and 4.8★ rating across more than 1,100 reviews make it a downtown standout for pizza done right. Order a classic margherita to judge the dough, then add specialty pies and Italian small plates.

4. Pistarro's

Address: 221 N East St, Frederick, MD 21701 · Cuisine: Italian / Neapolitan Pizza · Price: $$ · Rating: 4.5/5 (1,787 reviews)

Pistarro's is the rare spot that does both fresh pasta and wood-fired Neapolitan pizza at a high level, with nearly 1,800 reviews supporting its 4.5★ average. The North East Street location offers a full Italian menu, so it suits groups split between pizza lovers and pasta fans. A dependable all-rounder for a casual Italian dinner.

5. Il Porto Restaurant

Address: 200 S Market St, Frederick, MD 21701 · Cuisine: Italian · Price: $$ · Rating: 4.4/5 (881 reviews)

A cozy downtown ristorante on South Market Street, Il Porto is repeatedly praised for anniversary and date-night dinners. Creative pasta dishes, attentive service, and a warm room make it a go-to for couples celebrating something special. Its central downtown location pairs well with an after-dinner walk along Market Street or Carroll Creek.

6. Cucina Massi

Address: 111 E Patrick St, Frederick, MD 21701 · Cuisine: Italian · Price: $$ · Rating: 4.5/5 (368 reviews)

Cucina Massi brings authentic Italian cooking to East Patrick Street in the heart of downtown. The 4.5★ rating reflects strong, consistent pasta and entrée plates in a relaxed but polished setting. It is an easy walkable choice for visitors staying downtown who want quality Italian without a long drive.

7. Il Forno Pizzeria

Address: 1035 W Patrick St, Frederick, MD 21702 · Cuisine: Pizza / Italian · Price: $$ · Rating: 4.3/5 (1,185 reviews)

A long-running Frederick favorite, Il Forno has built more than 1,100 reviews on generous portions of pizza and Italian-American classics. The West Patrick Street location is a dependable, family-friendly choice for a casual weeknight dinner or takeout. Expect big slices, hearty pastas, and friendly neighborhood service.

8. Rosati's Pizza

Address: 911 W 7th St, Frederick, MD 21701 · Cuisine: Pizza · Price: $$ · Rating: 4.7/5 (1,530 reviews)

Rosati's is Frederick's top-rated high-volume pizza spot, holding a 4.7★ average across more than 1,500 reviews. The Chicago-style approach and reliable quality make it a strong pick for delivery, takeout, or a quick family dinner on West 7th Street. A great low-key option when you want pizza without a wait for a table.

Planning Your Italian Dinner in Frederick

For a special occasion, book ahead at Tempo Di Pasta, Il Porto, or Cucina Massi — the downtown rooms are intimate and fill up on weekends. Mention anniversaries or birthdays when reserving; downtown Italian spots are happy to accommodate.

For pizza, head to Cugino Forno or Pistarro's for wood-fired Neapolitan pies, or Rosati's and Il Forno for classic, crowd-pleasing slices and takeout. Each leans a different direction, so match the spot to whether you want artisan or hearty.

For a casual or budget meal, Juliet's Italian Market and Café (4.7★) on East Church Street and Pasquale's Italian Pizza (4.5★) deliver quality at a lower price point. All of these sit close to downtown Frederick's shops, parks, and Carroll Creek for an easy evening out.