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Best Keto Food To Order At Italian Restaurants [2024 Menu Guide]

Read my guide on how to order keto Italian food at an Italian restaurant, how to order off the menu, which appetizers and main courses to enjoy and which common ingredients you should avoid. So before you visit your favorite Italian Restaurant check out the section on popular low carb Italian food.

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Can You Eat At An Italian Restaurant While On A Keto Diet?

When people think of Italian food carb heavy items come to mind first. You know what I’m talking about, plates piled high with pasta and sauce and pizzas of every kind.

It may surprise you that the bread heavy Italian food we’ve come to know and love in the United States isn’t an authentic representation of how Italians eat.

In fact, Italian food is considered to be Mediterranean cuisine. Mediterranean food fits well into a keto diet! Italians eat a diet rich in fresh salads, seafood and lightly prepared meats.

Typically an Italian meal only consists of one cup of al dente pasta. So if you’re willing to eat like an authentic Italian you can eat at an Italian restaurant and stick to your keto and low carb lifestyle.

Best Italian Food to Order From Italian Restaurant On A Keto Diet:


In this section I’ll go over the typical Italian appetizers that are naturally low carb along with some less common options:

#1 Marinated Olives

Olives are a great food to eat on a keto diet. They’re naturally high in fat, low in carbs and low in protein. Marinated olives are typically bathed in a combination of olive oil, vinegar and Italian spices like oregano. All of which are totally keto friendly and almost completely void of carbs!

While I wouldn’t want to sit there and eat a whole plate of olives for dinner, marinated olives make a great appetizer to add an extra layer of flavor to your meal.

The more flavors in your keto Italian meal the more satisfied you will be. Helping you to avoid reaching across the table to sneak a bite of your fellow diner’s pasta.

A bowl of marinated olives on a wooden table.

#2 Stuffed Zucchini Flowers or Stuffed Squash Blossoms

Squash blossoms are one of my favorite Italian foods. They’re hard to find but if you ever see them on the menu do not pass them up! Squash blossoms are the young flowers of a squash plant.

The flowers are picked before the fruit starts to grow. They’re typically stuffed with ricotta cheese.

#3 Bruschetta

Bruschetta typically consists of toasted bread topped with a mixture of diced tomatoes, garlic, basil, and olive oil, the bread itself is not compatible with a ketogenic diet due to its high carbohydrate content. So the fix is simple, order the bruschetta without the bread! Bruschetta is so flavorful that it’s satisfying even without the crunchy toast.

A close up of four slices of bruschetta   topped with extra tomatoes and basil.

#4 Antipasta

Antipasto or Antipasti is the traditional first meal to be served at Italian restaurants. It always consists of keto friendly ingredients including small pieces of cured meats, cheeses, pickled vegetables, artichoke hearts, marinated olives, mushrooms and more.

You’ll find a wide variety of antipasto options depending on which Italian restaurant you go to. They’re all good for a keto diet since they don’t include pasta or fried items.

A close up of a bowl of antipasto on a grey background. It is a bowl of antipasto filled with different types of meat and vegetables.

#5 Carpaccio

Carpaccio an appetizer that is typically thinly sliced meat or seafood served with sauce. I make my own carpaccio out of zucchini but that isn’t common. Since carpaccio is pure protein it is low in carbs. Carpaccio is a great keto friendly Italian appetizer.

#6 Eggplant Caponata (Roasted Eggplant Spread)

Eggplant caponata is made up of pan fried eggplant, tomatoes, olives and spices. It’s typically used as a spread served along side bread at an Italian restaurant.

You can order it and enjoy it over a bed of romaine lettuce instead of over toast! It’s a flavorful low carb dish that anyone on a keto diet would enjoy.

#7 Italian Meatballs

This one is tricky. Some Italian meatballs are keto friendly and some aren’t. Many Italian restaurants stuff their meatballs with breadcrumbs and cheese.

Ask your server if the meatballs have breadcrumbs. If the answer is no you can eat it on keto. But if the waiter says that they use breadcrumbs as a binder, don’t eat it.

A close up of Italian meatballs on a white plate.

#8 Marinated Mozzarella and Tomatoes

Both mozzarella and tomatoes are keto friendly. Tomatoes have zero net carbs and so does mozzarella cheese. Mozzarella cheese is high in fat and protein but low in carbs. The marinade is typically olive oil and herbs. All of which are keto friendly.

#9 Mussels Marinara

Another relatively keto friendly dish you can order at an Italian restaurant is mussels marinara, A.K.A mussels cooked in tomato sauce. Both mussels and marinara sauce are keto friendly. Mussels have more carbs in them than most proteins but it is still low enough to enjoy. One ounce of mussels without the shell has only one net carb.

#10 Shrimp Cocktail

A shrimp cocktail is one of the softest keto options you can order when eating Italian. The shrimp is gently poached in salted water so no carbs or calories are added. Shrimp cocktail sauce is similar to ketchup. It has only 4 grams of carbs in a typical serving.

Shrimp cocktail in a martini glass on a table.

#10 Grilled Artichoke Hearts

Grilled artichoke hearts are great for a keto diet. Don’t confuse grilled artichokes with the more popular stuffed artichokes. Stuffed artichokes are not ketogenic because they are stuffed with breadcrumbs.

On the other hand grilled artichoke hearts are cooked in olive oil and lemon. Artichokes are naturally low in carbs. If you see them on the menu do not hesitate to place an order for grilled artichoke!

Italian Restaurant Salads

It’s usually pretty easy to find keto friendly salad options where every you go. Italian restaurants are no different! Here are my three favorite keto friendly salads to order at an Italian restaurant.

#11 Caesar Salad without Croutons

If you’re willing to forgo the croutons, you can enjoy this much loved salad even while you are on a keto or low carb diet. Caesar dressing’s ingredients are typically high fat and low carb so it’s perfect for keto.

#12 Burrata

Burrata salad can be a great option for a keto meal at an Italian restaurant, as it offers a delicious combination of flavors while being relatively low in carbohydrates.

Burrata is a high fat cheese made from young mozzarella that’s naturally low in carbs and high in fat. It also has a moderate amount of protein so you won’t go over your macros.

Burrata salad is typically served with leafy greens and tomatoes in a simple olive oil and balsamic drizzle. Leafy greens and tomatoes are low in carbs, fat and protein and yet high in fiber and vitamins. You can’t go wrong with a burrata salad.

A white bowl filled with a Burrata salad of tomatoes, arugula, and mozzarella cheese.

#13 Caprese Salad

Caprese salad is a simple salad made up of sliced tomatoes and mozzarella with whole leaves of basil. It’s typically served with little dressing. A small amount of balsamic vinegar is poured over the salad. Very high quality balsamic vinegar can be high in carbs but such a small amount of it is used that it won’t add many carbs to the salad.

A close up of a plate of Caprese salad salad with mozzarella, tomatoes and basil.

#14 Italian Chopped Salad or Italian House Salad

An Italian house salad is typically a very simple green salad with Italian dressing. Italian dressing is keto friendly because it’s a basic blend of olive oil and vinegar with some spices like garlic, onion and mustard.

Some Italian dressing has honey in it but the amount is so small that the carb content from the sugar won’t add many carbs to the bottom line.

Italian Restaurant Soups

There are countless soup recipes from all over Italy. Many of them are bread based but there are a few common Italian soups that are low carb. Here are my top choices for keto friendly soups you can order at an Italian restaurant.

#15 Zuppa Di Clams

Zuppa di clams is a light brothy soup made with tomatoes and mussels. All of the ingredients in classic Zuppa di clams are naturally low carb. Including mussels.

#16 Minestrone without Rice or Pasta

Minestrone soup is a tomato based vegetable soup that is often served with pasta or rice. If you order the minestrone soup without pasta or rice it’s keto friendly, light and refreshing.

A bowl of minestrone soup with vegetables and herbs on a table.

#17 Zuppa Toscana

Zuppa Toscana is a naturally low carb soup made with Italian sausage, onion, bacon, garlic and heavy cream. Some Zuppa Toscana recipes use potatoes. Ask your serve if the soup is potato heavy. If they only use a few potatoes then you can still eat the soup on a keto diet.

Zuppa Toscana in a white bowl with a spoon on a wooden table. There is a slice of bread on a napkin in the background.

#18 Stracciatella Soup

Stracciatella soup is made up of meat broth and egg. It’s similar to an egg drop soup and is also known as Stracciatella LaLa romana.

#19 Ginestrata Soup

Ginestrata soup originated in Tuscany. It’s a thin egg based soup made with egg yolks, chicken stock, nut meg, butter and white wine.

#20 Buridda Soup

Buridda soup is a seafood stew that’s made in only 10 minutes! While it’s keto friendly it is typically served with bread. You are supposed to use the bread to soak up the broth. You can simply ask for Buridda without the bread!

Common Entrees From Italian Restaurants

Sometimes it’s hard to know what to order off of the Entree menu at an Italian restaurant if you’re trying to stick to a keto or low carb diet. All of the names are in Italian so unless you speak Italian, use google or ask your server it’s hard to tell. So that’s why I’ve compiled a list of keto Italian Entrees to order at Italian restaurants for you!

I’ve divided the list by seafood, chicken and beef. Unfortunately you won’t see any pasta or pizza on this list!

Keto Friendly Seafood Entrees From Italian Eatery

#21 Salmon Rustica

Salmon rustica is typically any kind of seafood or meat that is grilled on a piece of wood. The wood gives the salmon flavor depending on which type of wood is used. Rustica means that the salmon is cooked in a plain and simple manner. That means it’s grilled without lots of seasoning sauces or starches.

A plate with Salmon Rustica, broccoli and tomatoes.

#22 Salmon LaLa Piccata

Piccata refers to Italian sauce that’s made with capers, butter, white wine and lemon juice. So any time you see piccata on the menu you’ll know that the sauce is keto friendly. In this case salmon piccata is simply salmon cooked in a lemon butter sauce. The lemon butter sauce and salmon are both low carb. Perfect for a keto eater’s night out at their favorite Italian restaurant.

#23 Gamberi LaLa Piccata

Gamberi LaLa Piccata is a dish of shrimp cooked in a lemon butter sauce with capers and tomatoes. It’s light, tasty and totally keto friendly as long as it doesn’t come with starchy sides.

Keto Beef Entrees to Order at Italian Restaurants

#24 Osso Buco

Osso buco means “hole of the bone” because the sauce uses bone marrow for flavor. It consists of cross-cut veal shanked braised in veggies, broth and white wine.

Osso Buco on a plate with a knife and fork on a wooden table.

#25 Costilla Corta di Manzo

Costilla Corta di Manzo is braised short rib that fits well with a keto diet if you order it without rice or pasta.

#26 New York Style Strip Steak or Ribeye

A steak is always a safe choice to order at an Italian restaurant. Steaks are usually cooked plain and served with a simple sauce or steak butter. Sides usually include a low starchy vegetable like broccoli. If the steak comes with potatoes, pasta or rice simply ask your server to swap them out for a salad or veggie side.

New York style strip steak with vegetables and garnish on a white plate.

#27 Salsiccia alla Cacciatore

In Italian the term “Cacciatore” or “alla Cacciatore” means that the meal was prepared in a hunter-style. This means that the meal was made using what a hunter could find out in the woods. So it’s super paleo friendly and clean. Salsiccia (sausage) alla cacciatore is sausage cooked with mushrooms, onions, red peppers, garlic and other herbs.

Lamb Entrees

#28 Costolette di Agnello

Costolette di Agnello is the Italian name for lamb chops. Lamb chops are typically roasted and left pretty plain. Ask if you can swap the potatoes or rice side dish out for a low carb vegetable like sautéed spinach or broccoli.

Keto Friendly Chicken Entrees to Order at Italian Restaurants

#29 Chicken Saltimbocca

Chicken saltimbocca is usually made with chicken or veal that is wrapped with prosciutto and cooked in a Marsala sauce. As long as the meat isn’t breaded then you can order it on keto. I wouldn’t call it the healthiest choice since it’s literally meat wrapped with meat but it won’t kick you out of ketosis.

#30 Chicken Cacciatore

Chicken cacciatore or chicken alla cacciatore is chicken made in a hunter style. In Italian the term “Cacciatore” or “alla Cacciatore” means that the meal was prepared in a hunter-style. This means that the meal was made using what a hunter could find out in the woods.

A close up of chicken cacciatore with cherry tomato sauce on a white plate.

#31 Chicken Piccata

Piccata refers to Italian sauce that’s made with capers, butter, white wine and lemon juice. So any time you see piccata on the menu you’ll know that the sauce is keto friendly. In this case the chicken is cooked on the stove top in this amazingly keto friendly butter sauce.

Butter is excellent for a keto diet because it’s high in fat and has zero carbs and little protein.

A close up of chicken piccata with capers and lemon slices on a plate.

#32 Chicken Carciofi

Carciofi means artichokes in Italian this dish is chicken cooked with artichokes and other vegetables. It’s perfect for keto since the chicken is typically not breaded or fried.


Unfortunately there aren’t a lot of keto options when it comes to dessert. Most Italian desserts are made with flour like biscotti and cannolis.

#33 Lemon Sorbet

If you can stick to a small portion, lemon sorbet is a great option to have on a keto diet when eating at an Italian restaurant. By a small portion I mean 1/4th cup. Which has around 12 grams of carbs.

A scoop of lemon sorbet with mint leaves on top.

#34 Mixed Berries

Almost all Italian restaurants use berries to garnish their desserts. You can order a small bowl of mixed berries to eat for dessert. Berries are the only kind of fruit that is O.K. On a keto diet. Raspberries and black berries are naturally low in carbs.

I personally don’t love this option because eating fruit after a meal can cause indigestion.


#35 Tea

Italian restaurants always have a selection of herbal teas that you can enjoy for dessert. Tea without sugar is keto friendly and has zero calories. The hot water from the tea will also help relax your stomach and make you feel full after a light meal.

#36 Cappuccino

If you are not a tea person you can order cappuccino with almond milk or regular milk. Cappuccino has some carbs from the milk but not much and the coffee itself has no carbohydrates.

Cappuccino in a red cup that's on saucer on a wooden table.

#37 Expresso

Expresso is 100% keto friendly because coffee and Expresso naturally have zero carbs.

Ingredients to Avoid While Eating At Italian Restaurants to Stay in Ketosis:

Oh this list is long. When ordering keto at an Italian restaurant make sure to steer clear of any pasta or pizza. Unfortunately pasta and pizza are always high in carbs. Also avoid entrees that are fried or breaded. If an item is fried chances are it was dredged in flour first.

Foods to Avoid When Eating At An Italian Restaurant on Keto:

If you’re just learning how to order keto at an Italian restaurant then here is a quick list of foods you should avoid:

  • Pizza
  • Pasta
  • Fried Food
  • Breaded seafood and meat
  • Polenta
  • Rice
  • Risotto
  • Desserts
  • Alfredo Sauce
  • Vodka Sauce

Specific Italian Chain Keto Restaurant Guides

Olive Garden

In this menu guide, I’ll be highlighting the best keto options you can order at Olive Garden. From side dishes to the main courses, it’s easy for keto dieters to enjoy a great low-carb meal at one of the most well known Italian restaurant chain’s in the United States.

Keto Friendly Italian Recipes to Try At Home:

Here are some of my favorite homemade keto friendly Italian recipes that you can make at home!

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Easy Keto Breadsticks
hese buttery keto breadsticks are easy to make and absolutely mouthwatering. And they’re not made with fathead dough!
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Easy Keto Breadsticks
Keto Chicken Parmesan Recipe : Best EASY Low Carb Parm
Chicken Parm is popular at any Italian restaurant & I know why: it’s delicious! My baked Keto Chicken Parmesan recipe is quick & easy!
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Keto Chicken Parmesan Recipe : Best EASY Low Carb Parm
Easy Keto Pizza Recipe (VIDEO) – The Girl Who Ate Everything
Keto Pizza – no soggy crust here! Most fathead dough is limp and flavorless. Not this pizza crust! A great low-carb dinner.
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Easy Keto Pizza Recipe (VIDEO) - The Girl Who Ate Everything
The Best Keto Ricotta Gnocchi
These low carb keto gnocchi are fluffy, soft and pillowy! Try my ricotta gnocchi with sage butter – easy and just 4.8g net carbs.
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The Best Keto Ricotta Gnocchi
Keto Italian Gelato
Gelato recipes have sugar, but this recipe relies on simple, low-carb ingredients. Keto Italian gelato isn’t super fast to make, but the result is awesome!
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Keto Italian Gelato
Keto Lasagna Recipe | Wholesome Yum | Easy healthy recipes. 10 ingredients or less.
An easy low carb keto lasagna recipe with beef marinara, creamy ricotta, gooey mozzarella, and noodles just like the real thing! Only 5.6g net carbs per serving.
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Keto Lasagna Recipe | Wholesome Yum | Easy healthy recipes. 10 ingredients or less.
Almond Meal Polenta – Base recipe – Easy Lo-Carb
I L-O-V-E this recipe, to me it is better than the original. It is ready in a few minutes, easy, tasty and filling. JulesMiss that full feeling from a slow cooked polenta or cheesy mash?This recipe is so much quicker and easier than a traditional polenta that needs to be slow cooked.
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Almond Meal Polenta – Base recipe - Easy Lo-Carb
(Pillowy Soft!) Keto Ravioli 🍝
Filled with spinach & ricotta and fried in a brown butter sauce!
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Keto Italian Lemon Ricotta Cheesecake
A creamy keto-friendly Italian Lemon Ricotta Cheesecake is simply irresistible! It’s an easy to make low carb dessert with just 4g net carbs.
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Creamy Keto Risotto
This creamy keto risotto is going to be your next favorite side dish! So creamy, cheese and definitely a family pleaser!
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Fabulous Keto Focaccia
This yeast-risen Keto focaccia is truly fabulous. And each slice has just 162 calories and 2g net carbs.
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