Dining out / Italian
Keto at an Italian Restaurant
Doable for keto3 to order1 to ask about4 to skip
Italian menus look like a minefield of pasta, but the secondi (the meat and fish courses), the antipasti and the salads are naturally low in carbs. Order the protein, swap the starch for vegetables and let the bread basket pass.
Order this
Antipasto, grilled fish or chicken, steak or veal with vegetables, caprese, green salad.
Skip this
Pasta, risotto, bread, pizza, breaded cutlets (parmigiana, milanese), sweet balsamic glaze.
Say this
“Could you sauté the protein with vegetables instead of pasta?”
The menu, dish by dish
Where the carbs hide
- Flour dredging on piccata, marsala and scaloppine
- Breadcrumbs in meatballs, stuffed peppers and baked clams
- Sugar in some marinara sauces and in balsamic glaze
- Polenta and farro sides served under the protein
What to drink
A glass of dry red or Pinot Grigio, or a dry martini. Skip the Aperol spritz and limoncello.
Five rules that work almost anywhere
- Protein first.
- Swap the starch for vegetables or a salad.
- Sauces on the side.
- Send the bread basket away.
- Drink dry.
Menus and recipes vary by restaurant, so ask when you are unsure. Not medical advice; see our health disclaimer.
The same flavors, keto by design
Quick answers
Is italian food keto-friendly?
It can be, with a few swaps. Italian menus look like a minefield of pasta, but the secondi (the meat and fish courses), the antipasti and the salads are naturally low in carbs. Order the protein, swap the starch for vegetables and let the bread basket pass.
What can I order at a italian restaurant on keto?
Antipasto, grilled fish or chicken, steak or veal with vegetables, caprese, green salad.
What should I avoid?
Pasta, risotto, bread, pizza, breaded cutlets (parmigiana, milanese), sweet balsamic glaze. Hidden carbs to watch for: flour dredging on piccata, marsala and scaloppine; breadcrumbs in meatballs, stuffed peppers and baked clams; sugar in some marinara sauces and in balsamic glaze; polenta and farro sides served under the protein.
What should I ask my server?
Try: “Could you sauté the protein with vegetables instead of pasta?” Keep requests short and friendly; kitchens handle substitutions all the time.
What should I drink?
A glass of dry red or Pinot Grigio, or a dry martini. Skip the Aperol spritz and limoncello.
22 restaurant guides
The pocket guide for eating out
The free Keto Dress Code: restaurant strategy, wedding and holiday plans, and a drink carb chart.
Keto for real life
Every occasion
From black tie to the gas station: airports, road trips, game day, first dates and the office party.
Explore →85 drinksThe bar
Carbs in every cocktail, wine and beer, and how to order each one lower-carb.
Explore →30 swapsThe swap library
The best keto stand-ins for rice, pasta, bread, flour, sugar and more, with the carbs compared.
Explore →54 ingredientsHidden carbs
Maltodextrin, IMO, maltitol, “tapioca fiber”: what each label word means and how to count it.
Explore →


