Best pizza in Rochester · Italian-American guide
Best Italian-American Pizza in Rochester
The 6 best Italian-American pizzerias in Rochester, Minnesota, ranked by editorial score. The red-sauce pizzeria tradition carried across America by Italian immigrants: generous cheese, a sturdy crust, and recipes passed down for generations. This is the neighborhood pizza most of the country grew up on.

Zadeos Pizza
Three generations strong, a Rochester favorite for over 36 years.

The Original Mr. Pizza South
Family-owned Rochester tradition serving the same recipe since 1963.

Pasquale's Neighborhood Pizzeria
Neighborhood spot using imported Italian ingredients and house-made pasta.

R's Pizza
Downtown Rochester pizzeria serving classic pies just steps from Peace Plaza.

Victoria's Ristorante and Wine Bar
Downtown Italian dining room offering wood-fired pizzas alongside a deep wine list.

Terza Ristorante
Modern Italian restaurant near Mayo Clinic featuring thin-crust pizza on its menu.