Best pizza in Roanoke · Italian-American guide
Best Italian-American Pizza in Roanoke
The 4 best Italian-American pizzerias in Roanoke, Virginia, 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.

1
Italian-American
Grace's Place Pizzeria
Roanoke, VA
Grandin Village favorite for thin-crust pies and homestyle Italian classics.
9.6
Editorial Score
2
Italian-American
Basil Pizza
Roanoke, VA
Family-owned local chain blending authentic Italian recipes with American style.
9.2
Editorial Score
3
Italian-American
Greco's Pizza
Roanoke, VA
New family-owned Italian pizza parlor on Electric Road known for handcrafted pies and subs.
8.7
Editorial Score
4
Italian-American
Frank's At Brambleton
Roanoke, VA
Longstanding Brambleton Avenue Italian restaurant serving red-sauce pizza and pasta.
7.8
Editorial Score