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Italian keto guide

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Italian food
459 dishes169 keto as served160 with a photo

Keto friendliness

Italian cuisine is easily adaptable for keto dieters willing to make conscious substitutions and avoid traditional carb staples.

Top ingredients

Excellent traditional keto ingredients include olive oil, cured meats (prosciutto, salami), various cheeses (Parmesan, Pecorino, mozzarella), fresh fish, seafood, beef, chicken, eggs, and non-starchy vegetables like spinach, broccoli rabe, zucchini, and eggplant.

Danger zones

The biggest carb traps are pasta, pizza, risotto, bread products, sugary tomato sauces, flour-thickened sauces, and all traditional desserts.

Best for

This cuisine works best for adaptable keto dieters who can focus on meat, fish, cheese, and vegetable-based dishes, avoiding starches and sugars.

What to drink

Drinks you will see at Italian restaurants, cafés and stalls, rated the same way as the food.

Order these

Skip these

118 matching dishes · page 1 of 2

Anatra al Forno con Erbe Aromatiche (Senza Salsa all'Arancia)
Roasted Duck with Aromatic Herbs (Orange Sauce Omitted)
Crispy-skinned roasted duck, typically a leg or breast, generously seasoned with traditional Italian aromatic …
Ask for a tweakHigh Fat
1 net1 total0 fibre40 protein70 fat800 kcal
Costoletta di Maiale al Burro e Salvia
Pan-fried Pork Chop with Butter and Sage (without Breading)
A succulent pork chop pan-fried until golden, flavored simply with fresh sage leaves and generous amounts of r…
Ask for a tweakHigh Fat
1 net1 total0 fibre45 protein63 fat740 kcal
Pancetta Arrotolata e Grigliata
Grilled Rolled Pancetta with Keto Sides
Thick-cut slices of rolled pancetta (Italian cured pork belly) grilled until golden and slightly crispy, highl…
Ask for a tweakHigh Fat
1 net1 total0 fibre25 protein55 fat600 kcal
Animelle Saltate (Senza Panatura)
Pan-Seared Sweetbreads (Unbreaded)
Sweetbreads (thymus gland), traditionally prepared by blanching, pressing, then pan-searing. Often lightly flo…
Ask for a tweakHigh Fat
2 net2 total0 fibre40 protein48 fat600 kcal
Bollito di Lingua con Olio d'Oliva e Limone (Senza Salsa Verde o Contorni Carboidrati)
Boiled Beef Tongue with Olive Oil and Lemon (No Salsa Verde or Carb Sides)
Tender, thinly sliced boiled beef tongue, served simply with a drizzle of extra virgin olive oil and a wedge o…
Ask for a tweakHigh Fat
2 net2 total0 fibre60 protein45 fat650 kcal
Branzino al Sale
Salt-Crusted Sea Bass
A whole sea bass baked in a thick crust of coarse sea salt. The salt crust locks in moisture and gently season…
Order as-isHigh Fat
2 net2 total0 fibre60 protein20 fat430 kcal
Cervello Saltato (Senza Panatura)
Pan-Seared Brains (Unbreaded)
Brains, typically from veal or lamb, prepared by blanching and then pan-searing until tender and slightly cris…
Ask for a tweakHigh Fat
2 net2 total0 fibre35 protein48 fat580 kcal
Lingua Salmistrata in Salsa Verde
Cured Beef Tongue with Green Sauce
Tender, thinly sliced cured beef tongue, often served chilled or at room temperature, accompanied by a vibrant…
Order as-isHigh Fat
2 net3 total1 fibre35 protein65 fat750 kcal
Pancia di Maiale Croccante
Crispy Pork Belly with Keto Sides
Slow-cooked and then roasted or pan-fried pork belly, resulting in incredibly tender meat and a wonderfully cr…
Ask for a tweakHigh Fat
2 net2 total0 fibre40 protein80 fat850 kcal
Sardine alla Griglia
Grilled Sardines
Whole fresh sardines, typically seasoned simply with salt and pepper, sometimes with a touch of garlic or oreg…
Order as-isHigh Fat
2 net2 total0 fibre50 protein45 fat600 kcal
Sformato di Spinaci con Formaggio
Baked Spinach and Cheese Flan
A savory baked flan or soufflé-like dish, prepared with puréed or finely chopped spinach, eggs, heavy cream, a…
Ask for a tweakHigh Fat
2 net7 total5 fibre41 protein65 fat810 kcal
Acciughe al Verde
Anchovies with Green Sauce
Salted anchovies (often fresh or cured in oil) dressed with a vibrant green sauce made from fresh parsley, gar…
Order as-isHigh Fat
3 net5 total2 fibre25 protein32 fat400 kcal
Affettati Misti
Mixed Cured Meats Plate
A selection of assorted Italian cured meats such as prosciutto crudo, salame, coppa, and speck, typically serv…
Order as-isHigh Fat
3 net3 total0 fibre40 protein48 fat600 kcal
Brodo di Pesce
Fish Broth
A light and flavorful Italian fish broth, typically made from fish bones, heads, or lean fish fillets, simmere…
Order as-isHigh Fat
3 net4 total1 fibre10 protein15 fat180 kcal
Fegatini di Pollo al Burro e Salvia (Senza Crostini)
Chicken Livers with Butter and Sage (No Crostini)
A rich and flavorful dish of pan-fried chicken livers, traditionally sautéed in butter with fresh sage. Often …
Ask for a tweakHigh Fat
3 net3 total0 fibre35 protein45 fat550 kcal
Lumache al Burro e Aglio
Snails with Butter and Garlic
A classic preparation of snails (typically land snails), usually cooked in their shells or served out of them,…
Order as-isHigh Fat
3 net3 total0 fibre25 protein38 fat450 kcal
Rene di Vitello al Forno
Baked Veal Kidney
A less common but authentic Italian dish, featuring veal kidney baked with herbs, garlic, white wine, and ofte…
Order as-isHigh Fat
3 net4 total1 fibre45 protein40 fat550 kcal
Salsiccia al Mirto (Grigliata) con Contorno Keto
Grilled Myrtle Sausage with Keto Side
A specialty from Sardinia, this robust pork sausage is flavored with myrtle berries and leaves, giving it a un…
Ask for a tweakHigh Fat
3 net4 total1 fibre40 protein50 fat620 kcal
Agnello al Forno con Rosmarino
Roasted Lamb with Rosemary
Tender lamb (often leg or shoulder) slow-roasted in the oven with fresh rosemary, garlic, olive oil, salt, and…
Order as-isHigh Fat
3.5 net5 total1.5 fibre70 protein95 fat1100 kcal
Costine di Maiale al Forno
Oven-Baked Pork Ribs
Hearty pork ribs, slow-baked in the oven until tender, often simply seasoned with herbs, garlic, salt, pepper,…
Order as-isHigh Fat
3.5 net5 total1.5 fibre70 protein100 fat1200 kcal
Baccalà Mantecato
Creamed Cod Spread with Keto Accompaniments
A classic Venetian appetizer, creamy whipped salt cod emulsified with olive oil, garlic, and parsley. Traditio…
Ask for a tweakHigh Fat
4 net5 total1 fibre35 protein70 fat650 kcal
Bagna Cauda
Piedmontese Warm Anchovy & Garlic Dip (with Keto Vegetables)
A rich, warm dip from Piedmont, traditionally served with raw or lightly cooked vegetables. Made with garlic, …
Ask for a tweakHigh Fat
4 net8 total4 fibre15 protein75 fat750 kcal
Olive Marinate
Marinated Olives
A classic Italian appetizer featuring a generous mix of various marinated olives, typically seasoned with herb…
Order as-isHigh Fat
4 net8 total4 fibre2 protein38 fat350 kcal
Pancia di Vitello Arrotolata e Farcita (Senza Panatura)
Rolled and Stuffed Veal Belly (No Breading)
A hearty, traditional dish featuring a large piece of veal belly, flattened, filled with a savory mixture of g…
Ask for a tweakHigh Fat
4 net5 total1 fibre55 protein55 fat700 kcal
Salsiccia al Finocchietto con Contorno di Verdure Keto
Italian Fennel Sausage with Keto Vegetable Side
Authentic Italian pork sausage seasoned generously with fennel, grilled or pan-fried until browned and juicy, …
Ask for a tweakHigh Fat
4 net5 total1 fibre45 protein60 fat750 kcal
Uova strapazzate al tartufo
Scrambled Eggs with Truffle
A luxurious dish featuring creamy scrambled eggs elevated with the distinct aroma and flavor of fresh black tr…
Ask for a tweakHigh Fat
4 net4 total0 fibre25 protein45 fat500 kcal
Burrata con Prosciutto Crudo
Burrata with Cured Ham
Creamy burrata cheese (a soft mozzarella shell filled with cream and stracciatella) served alongside thinly sl…
Order as-isHigh Fat
5 net5 total0 fibre40 protein60 fat700 kcal
Fegato di Vitello al Burro e Salvia
Pan-fried Veal Liver with Butter and Sage
Delicate, thinly sliced veal liver quickly pan-fried to perfection, traditionally with fragrant fresh sage lea…
Ask for a tweakHigh Fat
5 net5 total0 fibre30 protein50 fat560 kcal
Puntarelle alla Romana con Acciughe
Roman Chicory with Anchovies
A Roman specialty salad made from crisp, bitter chicory shoots (puntarelle) dressed with a pungent sauce of ol…
Ask for a tweakHigh Fat
5 net10 total5 fibre7 protein35 fat400 kcal
Ricotta al Forno con Erbe e Olio
Baked Ricotta with Herbs and Oil
A simple yet elegant antipasto or side dish of fresh whole milk ricotta cheese, seasoned with herbs (like rose…
Order as-isHigh Fat
5 net5 total0 fibre20 protein35 fat400 kcal
Formaggi Misti con Olive e Noci
Mixed Cheeses with Olives and Nuts
A curated selection of Italian cheeses, ranging from hard to soft, served with a complementary assortment of o…
Ask for a tweakHigh Fat
6 net10 total4 fibre40 protein60 fat700 kcal
Salsiccia con Broccoli Rabe
Sausage with Bitter Greens
Hearty Italian pork sausages (often fennel or spicy) sautéed with bitter greens, typically broccoli rabe (rapi…
Order as-isHigh Fat
6 net10 total4 fibre45 protein100 fat1125 kcal
Anatra con Olive
Duck with Olives (Served without Carb Sides)
Duck pieces (often thighs or breast) braised or roasted until tender, cooked in a rich, savory sauce with asso…
Ask for a tweakHigh Fat
7 net9 total2 fibre45 protein81 fat910 kcal
Asparagi alla Griglia con Prosciutto e Parmigiano
Grilled Asparagus with Prosciutto and Parmesan
Grilled asparagus spears, often wrapped in prosciutto, topped with shaved Parmigiano-Reggiano cheese and drizz…
Order as-isHigh Fat
7 net12 total5 fibre25 protein60 fat690 kcal
Cardi al Forno con Besciamella Keto e Parmigiano
Baked Cardoons with Keto Béchamel and Parmesan
Cardoons (a thistle-like vegetable related to artichokes) are par-boiled until tender, then baked in a rich bé…
Ask for a tweakHigh Fat
7 net12 total5 fibre20 protein50 fat550 kcal
Cime di Rapa Saltate
Sautéed Rapini (Broccoli Rabe)
Bitter rapini (broccoli rabe) sautéed in generous olive oil with garlic and a hint of chili flakes.…
Order as-isHigh Fat
7 net12 total5 fibre6 protein38 fat400 kcal
Pecora in Cappotto
Stewed Mutton
A rustic Sardinian stew featuring tender mutton (older sheep meat) slow-cooked with aromatic herbs, vegetables…
Order as-isHigh Fat
7 net10 total3 fibre70 protein60 fat850 kcal
Rognoni Trifolati
Sautéed Kidneys
Veal or lamb kidneys quickly sautéed with garlic, parsley, and often a splash of white wine, served in a rich …
Order as-isHigh Fat
7 net8 total1 fibre60 protein70 fat900 kcal
Zucchine alla Scapece (Senza Farina per Fritto)
Marinated Zucchini (Pan-Fried without Flour)
A classic Neapolitan dish featuring zucchini slices that are pan-fried until tender, then marinated in a tangy…
Ask for a tweakHigh Fat
7 net10 total3 fibre4 protein35 fat380 kcal
Funghi Trifolati
Sautéed Mushrooms
A classic Italian side dish or appetizer featuring a medley of fresh mushrooms (such as cremini, oyster, or so…
Order as-isHigh Fat
8 net12 total4 fibre8 protein40 fat450 kcal
Petto d'Anatra al Pepe Verde (Senza Risotto o Patate)
Duck Breast with Green Peppercorn Sauce (Without Risotto or Potatoes)
Crispy-skinned pan-seared duck breast served with a rich, creamy green peppercorn sauce, modified to be served…
Ask for a tweakHigh Fat
8 net10 total2 fibre55 protein80 fat950 kcal
Crema di Funghi
Creamy Mushroom Soup
A velvety, rich soup crafted from a medley of fresh mushrooms, sautéed with garlic and a hint of onion, simmer…
Order as-isHigh Fat
9 net12 total3 fibre10 protein40 fat450 kcal
Maiale al Latte
Pork Cooked in Milk
A traditional, comforting dish where a pork shoulder or loin is slow-cooked in whole milk with aromatics like …
Ask for a tweakHigh Fat
9 net10 total1 fibre70 protein75 fat950 kcal
Cauliflower Risotto ai Funghi e Parmigiano
Cauliflower Risotto with Mushroom and Parmesan
A creamy and decadent 'risotto' made with finely riced cauliflower florets instead of traditional rice, slowly…
Order as-isHigh Fat
10 net18 total8 fibre25 protein50 fat600 kcal
Vitello Tonnato
Veal with Tuna Sauce
Thinly sliced cold roasted veal, typically topped with a creamy, mayonnaise-based sauce flavored with tuna, ca…
Ask for a tweakHigh FatCarb risk
10.5 net12 total1.5 fibre35 protein70 fat750 kcal
Antipasto Misto (Customized)
Mixed Appetizer Platter (Customized)
A customized selection of cured meats, cheeses, olives, and select low-carb marinated vegetables.…
Ask for a tweakHigh FatCarb risk
11 net15 total4 fibre70 protein110 fat1335 kcal
Uova al Purgatorio
Eggs in Spicy Tomato Sauce
A classic Neapolitan breakfast or light meal featuring eggs gently poached or baked directly in a rich, spicy …
Ask for a tweakHigh FatCarb risk
13.5 net18 total4.5 fibre23 protein43 fat540 kcal
Guancia di Manzo al Barolo
Beef Cheek in Barolo Wine Sauce
Slow-braised beef cheek, incredibly tender, cooked in a rich Barolo red wine sauce with aromatic vegetables.…
Ask for a tweakHigh FatCarb risk
14 net18 total4 fibre75 protein85 fat1100 kcal
Ossobuco
Braised Veal Shanks
Cross-cut veal shanks, known for their marrow-rich bones, slowly braised until fork-tender. The braising liqui…
Ask for a tweakHigh FatCarb risk
14 net18 total4 fibre80 protein70 fat1000 kcal
Coda alla Vaccinara
Roman-style Oxtail Stew
A classic Roman stew featuring slow-braised oxtail in a rich, flavorful tomato-based sauce, often with aromati…
Skip thisHigh FatCarb risk
16 net20 total4 fibre60 protein90 fat1000 kcal
Carciofi alla Romana
Roman-style Artichokes
Whole artichokes, trimmed and typically braised until tender in olive oil, white wine, garlic, mint, and parsl…
Skip thisHigh FatCarb risk
17 net31 total14 fibre5 protein80 fat800 kcal
Salsiccia e Peperoni
Sausage and Peppers
Hearty Italian sausages pan-fried and then braised with sweet bell peppers, onions, and sometimes a light toma…
Skip thisHigh FatCarb risk
19 net25 total6 fibre60 protein80 fat1050 kcal
Uova al Pomodoro
Eggs in Tomato Sauce
A simple, hearty dish of eggs gently poached or simmered directly in a rich, herbed tomato sauce, often served…
Skip thisHigh FatCarb risk
19 net25 total6 fibre23 protein45 fat700 kcal
Melanzane alla Parmigiana
Eggplant Parmesan
A classic layered dish featuring baked or pan-fried eggplant slices, rich tomato sauce, mozzarella, and Parmes…
Skip thisHigh FatCarb risk
20 net30 total10 fibre55 protein105 fat1350 kcal
KAsoon
Burro e Alici
Butter and Anchovies
A traditional, simple, yet elegant appetizer of high-quality butter served alongside savory salted anchovy fil…
Ask for a tweakHigh Fat
0 net0 total0 fibre10 protein41 fat400 kcal
KAsoon
Midollo alla Griglia
Grilled Bone Marrow (Keto)
Beef bone marrow, typically cut lengthwise (canoe cut) and grilled or roasted until the rich, fatty marrow is …
Order as-isHigh Fat
0 net0 total0 fibre10 protein60 fat600 kcal
KAsoon
Sgombro Sott'Olio
Mackerel in Olive Oil
Flaky mackerel fillets, meticulously preserved in high-quality olive oil, offering a rich and savory appetizer…
Order as-isHigh Fat
0 net0 total0 fibre25 protein38 fat450 kcal
KAsoon
Acciughe sotto Sale con Olio e Prezzemolo
Salted Anchovies with Olive Oil and Parsley
A simple and authentic Italian appetizer. Desalted anchovy fillets are typically served whole or lightly chopp…
Order as-isHigh Fat
1 net1 total0 fibre20 protein35 fat400 kcal
KAsoon
Agnello Fritto (Senza Impanatura)
Fried Lamb (No Breading)
Succulent pieces or chops of lamb (e.g., small rib chops or shoulder cuts) pan-fried or deep-fried until wonde…
Ask for a tweakHigh Fat
1 net1 total0 fibre68 protein60 fat825 kcal
KAsoon
Lardo di Colonnata con Erbe
Cured Lardo with Herbs (Keto, no bread)
Paper-thin slices of Lardo di Colonnata, a highly prized cured pork fat from Tuscany, seasoned with a blend of…
Ask for a tweakHigh Fat
1 net1 total0 fibre5 protein50 fat480 kcal