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Cuisine CornerFood tours

Italian and Italian-American food

Italian food in America comes in two flavors: regional dishes from Italy, and the Italian-American classics invented by immigrants here.

Updated October 2026

Spaghetti in tomato sauce
Photo: Gu Ko / Pexels

Regional Italian at a glance

RegionSignature dishesStyle
Rome and LazioCarbonara, cacio e pepe, amatricianaSimple pasta with pecorino and guanciale
Naples and CampaniaNeapolitan pizza, mozzarella di bufalaSoft, blistered wood-fired pizza
Bologna and Emilia-RomagnaTagliatelle al ragu, tortellini, Parmigiano ReggianoRich egg pastas and meat sauces
SicilyArancini, cannoli, pasta alla NormaCitrus, eggplant, ricotta and seafood
TuscanyBistecca alla fiorentina, ribollitaHearty, rustic cooking

Italian-American classics

Dishes like spaghetti and meatballs, chicken parmigiana, baked ziti and New York-style pizza were shaped by Italian immigrants in American cities. They are a cuisine of their own, and the classic "red sauce" restaurants are worth seeking out.

America's Little Italys

  • Boston's North End: cannoli, pastry shops and small trattorias.
  • New York: Little Italy in Manhattan and Arthur Avenue in the Bronx.
  • Philadelphia: the Italian Market on South 9th Street.
  • San Francisco: North Beach, home of cioppino.
  • Chicago: Taylor Street, home of the landmark Al's #1 Italian Beef.

Italian food tours

Boston food tours

New York City food tours

San Francisco food tours

Philadelphia food tours

Frequently asked questions

Is spaghetti and meatballs Italian?

It is Italian-American. Meatballs exist in Italy, but serving them on spaghetti in tomato sauce became popular among Italian immigrants in the United States.