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New Yorkers 1st Choice
Local picks

Italian sausage spots in Missouri

An Italian dish featuring sausage that uses quality links instead of the usual mystery meat.

Based on 690 Opinions
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Updated May 2026
01
Eovaldi's Deli & Catering image 1
Eovaldi's Deli & Catering image 2
Eovaldi's Deli & Catering image 3
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Small deli with old-school Italian charm offers a cozy, peaceful atmosphere that feels like a traditional kitchen. Local crowd gathers around limited seating, drawn by outstanding Italian sandwiches and fresh, flavorful meats.

Salami stands out as exceptionally flavorful and comes in several varieties. The chicken Parmesan sandwich impresses with its rich taste. Gnocchi and pasta salad also deliver strong Italian classics.

House-made sausage and meatballs stand out with excellent flavor and quality. The Loganiga sausage is fantastic and available fresh or in the frozen section alongside pizzas.

People are saying

"I still think about this gigantic sandwich a year later."

"Their Italian food, especially the subs, is authentic with meat piled high."

"The house-made sausage on the sandwiches was the best I had."

Good to know

1

The shop seats about 12 people inside and at least 3 outside.

2

The 9-inch sandwich was listed at $6.75 but actually costs closer to $10.75.

3

Credit cards and mobile payments are accepted, but cash is recommended for small purchases.

02
Adriana's On the Hill image 1

Rustic sandwich shop with cozy, old-fashioned decor and checkered table tops creates a welcoming, historic atmosphere. The space gets bustling and noisy at lunchtime, with a lively energy and outdoor seating available. A microphone system calls out orders, adding to the casual, friendly vibe.

Juicy, well-spiced meatballs come in a crusty sesame roll topped with bubbling mozzarella. Fresh pasta dishes include a rich bolognese and a vibrant Italian beef soup loaded with pasta, cheese, and vegetables.

Italian sausage features prominently with a mild fennel taste in dishes like pasta and sandwiches. The sausage sandwiches combine Italian sausage, pepperoni, cheese, and red sauce for a rich flavor profile.

People are saying

"The pasta here is so fresh it practically walks off the plate."

"The Italian food, especially the pasta and sandwiches, is amazing."

"I ordered the Italian sausage sandwich and it was amazing."

Good to know

1

Expect long lines during peak lunch hours, especially on weekends.

2

The restaurant has limited seating, so arrive early to avoid waiting.

3

Portion sizes are generous, making it a good value for the price.

03
Pizzeria da Gloria image 1
Pizza restaurant

Open-air courtyard and shaded patio create a pleasant outdoor dining experience with a vibe that recalls Italy. Inside spaces feel small and lively, with a mix of European cafe and 1970's rathskeller styles. Loud music inside contrasts with the warm, inviting atmosphere found on the patio.

Wood-fired pizza and pasta stand out with excellent marinara sauce and rich flavors. The Penne Vodka Pizza blends creamy sauce and pancetta for a unique twist, while dishes like Patate with pancetta and pecorino highlight perfect herb combinations.

Homemade sausage stands out with well spiced flavor and perfect cooking. It pairs well with mushrooms and fennel on pizzas, creating a delicious combination that complements the cheese and sauce.

People are saying

"I found the pizza to be amazing and delicious."

"This Italian food, especially the pizza, has an authentic flavor."

"The sausage pizza here is well spiced and quite good."

Good to know

1

Reservations are recommended for outdoor seating due to high demand.

2

Expect a 1.5-hour time limit for reservations during busy hours.

3

Happy hour runs from 5 to 6 PM with half-price spritzes.

04
Mama Mel's Pizzeria image 1
Pizza restaurant

Small dining area with about 5–6 tables and an outdoor patio creates an intimate setting. Loud acoustics make conversations carry, giving the space a lively, bustling energy. The vibe is family-friendly and local-focused, with a self-service setup and a mix of Detroit and Saint Louis pizza styles.

Spaghetti sauce stands out as rich and flavorful. Toasted ravioli come with provel cheese and mozzarella on request, adding a tasty twist to classic Italian dishes.

Sausage appears as a common topping, often paired with pepperoni or jalapeño on pizzas. It features in various styles, including Detroit-style pizza.

People are saying

"I found the Detroit Style Pizza to be the best I've ever had."

"This Italian food, the STL style pizza, had a really crispy crust."

"The sausage and jalapeño Detroit-style pizza was unbelievable."

Good to know

1

Expect wait times of over an hour during peak hours.

2

They charge a 3% fee for credit and debit card payments.

3

Cash payments receive a 3% discount on the total.

05
Saucy's Pizzeria - High Ridge image 1

Open space with industrial high ceilings and dark lighting creates a bar-like vibe rather than a traditional pizza spot. Quiet atmosphere with plenty of room and high-top seating supports both casual dining and large parties. Games like pool and pinball add a recreational touch for all ages.

Toasted ravioli stands out as a signature dish, often paired with garlic butter or marinara sauce. Large hand-tossed pizzas with Italian sausage and mozzarella, along with stuffed crust bites and pasta in white sauce, round out the Italian offerings.

Sausage appears as a key topping on pizzas, including a 14-inch hand-tossed option and a cheese and sausage variety. The sausage pizzas consistently come across as delicious and flavorful.

People are saying

"I loved the awesome lunch specials here."

"I found the sausage pizza to be super fresh and delicious."

"I always get the toasted ravioli with my Italian food."

Good to know

1

Karaoke happens every night starting at 5 PM.

2

Saucy's Pizzeria offers daily specials for lunch and dinner.

3

The restaurant has limited seating with only about 10 tables available.

06
Joe Fassi Sausage and Sandwich Factory image 1

Small sandwich shop with old-school Italian ambiance and walls covered in family and neighborhood memorabilia. Atmosphere feels cozy and inviting, reminiscent of traditional Italian diners. Known for classic sausage sandwiches and a nostalgic vibe that honors local culinary history.

St. Louis style Italian sausage stands out with its rich flavor. Hot pesto chicken comes with a generous amount of meat plus fresh lettuce and tomatoes. Pasta salad and spaghetti with meatballs offer solid, classic options.

Sausages here have a St. Louis style Italian flair and a succulent, perfectly grilled taste. Frozen sausages are available to take home, reflecting a dedication to quality that stands out.

People are saying

"I thought this was the best sandwich I had ever eaten."

"I found the homemade sausage incredible."

"The homemade Italian sausage and meatballs are amazing."

Good to know

1

Menu prices are not clearly listed, which may lead to surprises at checkout.

2

Expect to pay around $45 for two lunch combos without prior menu pricing.

3

The restaurant offers a variety of sandwich sizes and toppings for customization.

07
Affton Pizza Company image 1
Pizza restaurant

Small pizza joint with a cozy, old-school vibe and friendly atmosphere. Dining area is compact and fills up quickly, featuring simple decor and 80s music or talk radio. Known for fantastic thin crust pizza and a mom-and-pop feel that keeps things unpretentious.

Pizza features a thin crust loaded with pepperoni, Italian sausage, and bacon. Mozzarella cheese is available alongside the usual Provel, with the Italian sausage served in generous amounts.

Italian sausage appears in generous amounts on pizzas, often paired with pepperoni and bacon. Sausage chunks are large and flavorful, making the meat toppings stand out on thin crust and five-meat pizzas.

People are saying

"This pizza is hot, fresh, and incredibly delicious."

"This pizza is the best I've ever had, hands-down."

"This Italian food is so good, especially the pizza loaded with toppings."

Good to know

1

Expect to pay around $28.50 for a 16-inch cheese pizza with toppings.

2

The restaurant does not offer dine-in service; food is for takeout or delivery only.

3

Delivery times are reliable, with orders arriving as estimated.

08
Faraci Pizza image 1
Pizza restaurant

Large dining area fills with a crazy busy crowd around heavy granite tables that stay steady. Cozy, family-owned atmosphere creates a warm and friendly vibe despite the packed seating. Pizza draws strong praise for being top-notch and award-winning in the region.

Family-owned pizza and pasta spot with fresh toasted raviolis that are not frozen. Pasta sauce stands out enough that some only eat this one.

Sausage appears in generous amounts on pizzas, especially on the sausage and mushroom and pepperoni and sausage varieties. The sausage adds a solid, flavorful punch that stands out among the toppings.

People are saying

"I've never had a bad pizza here; it's always great."

"This Italian food, especially the pizza, has a light, crispy crust."

"Their sausage pizza is awesome and they don't skimp."

Good to know

1

Expect a 40-minute wait for pizza during peak hours.

2

Prices are significantly higher than listed online, ranging from 50% to 100% more.

3

The restaurant closes at 1:30 PM Monday through Friday, limiting lunch options.

09
Guys Pizza Amore image 1
Pizza restaurant

Small pizza restaurant in a strip mall offers an authentic Neapolitan style with high-quality mozzarella and well-balanced herbs. Atmosphere feels welcoming and friendly, with the chef engaging customers directly. Pizza stands out as top-quality in the region, drawing those who appreciate genuine Italian pies.

Tiramisu stands out with its rich flavor and often comes as a complimentary treat. The margarita pizza features a flavorful red sauce, balanced herbs, and high-quality mozzarella.

Sausage on the pizza lacks flavor and does not stand out. It appears bland even when paired with other toppings like pepperoni.

People are saying

"This pizza is amazing, I highly recommend it."

"I was blown away by the outstanding artisan pizza."

"The sausage pizza here tasted great."

Good to know

1

Expect a 25-minute wait during peak hours, but drinks are offered for free while waiting.

2

Prices for pizzas are flat rate regardless of toppings, making it easy to order.

3

The restaurant only offers one pizza size, a 14-inch, which may be small for some.

10
That’sa Nice’a Pizza image 1
Pizza restaurant

Pizza restaurant offers carryout and delivery only with no dine-in seating. Thin-crust, St. Louis style pizza features a mozzarella and white American cheese blend and a sweet sauce. Prices remain reasonable, attracting local customers seeking flavorful, convenient meals.

St. Louis style pizza features a blend of mozzarella and provel cheeses with plenty of tasty sauce. Breadsticks, breaded mushrooms, toasted ravioli, and cannelloni appear as common Italian appetizers.

Sausage appears on several pizzas, often paired with pepperoni and meatballs or combined with bacon on a pizza with a crispy crust. Sausage also features alongside onions on a pepperoni pizza.

People are saying

"I found the salads here to be delicious."

"I thought this pizza was the best I had in a long time."

"This Italian food is probably our new favorite pizza in town."

Good to know

1

That’sa Nice’a Pizza offers only carryout and delivery services.

2

You can order directly from their website instead of using delivery apps.

3

They removed the dine-in seating at That’sa Nice’a Pizza.

11
Monte Bello Pizzeria image 1
Pizza restaurant

Dining takes place in a rustic basement with low ceilings and a 50s throwback vibe. The atmosphere is lively and family-oriented, often becoming quite loud when full. The place is known for outstanding pizza and a homey feel.

Toasted raviolis stand out with a unique, softer texture compared to the usual hard ones, paired with homemade Italian sausage and generous toppings like bacon. Desserts include cream cheese ravioli with strawberry topping and chocolate ravioli with pecans, both offering a sweet twist on Italian classics.

Homemade Italian sausage appears in big chunks on pizzas with a crispy crust and cornmeal base. Sausage toppings come in generous sizes and add a delicious, slightly messy texture to the dishes.

People are saying

"You have to try the homemade Italian food, especially the ravioli."

"I loved the homemade beef ravioli; it was so tasty."

"The homemade sausage topping was delicious and a bit messy."

Good to know

1

Expect to wait over an hour during peak dinner times; arrive early.

2

Reservations are recommended for evening visits to avoid long waits.

3

Order ahead to reduce wait time for your pizza.

12
Nick & Elena's Pizzeria image 1
Pizza restaurant

Classic local pizza joint with old school decor and a family-oriented atmosphere. The space feels like a converted home, offering a warm, friendly vibe with a fun jukebox playing old school music. It embodies a mom & pop shop charm distinct from modern or corporate restaurants.

Toasted ravioli stands out with its crispy texture and rich meat sauce. Pasta dishes and New York style pizza also feature prominently, alongside veal cannelloni and rice balls.

Sausage comes with a crispy thin crust and pairs well with generous toppings like pepperoni, bacon, mushrooms, and onions. The sausage itself is high quality and complements the buttery crust and rich sauce.

People are saying

"I thought the pizza here was the best around."

"The pizza here is authentic Italian and really good."

"This sausage reminds me of my NaNa's cooking."

Good to know

1

There is no designated waiting area for customers when the order isn't ready on time.

2

The parking lot is paved and free of potholes.

3

Expect minimal wait times for pizza during busy hours.

13
A Touch of Texas BBQ image 1
Barbecue restaurant

Large pit out front signals authentic barbecue with walls covered in family photos creating a homey, old-school vibe. Music ranges from classic R&B to live bands, enhancing a warm, welcoming atmosphere that feels like lunch at a friend's house.

Spaghetti here has a unique smoky flavor from being cooked on the grill. The dish stands out with its grilled preparation and rich taste, unlike typical spaghetti.

A foot-long sausage with a snappy casing sits on a soft bun topped with baked beans and onion pepper garnish. The beef inside stays tender and juicy after smoking, giving it a rich flavor that pairs well with the toppings.

People are saying

"These ribs are so tender, moist, and smoky."

"The Italian food's spaghetti had a great smoky flavor."

"The sausage here is perfectly cooked with a nice, juicy flavor."

Good to know

1

Arrive early to get popular items as they sell out quickly.

2

The restaurant is family-owned and takes pride in its meals.

3

Expect a line before opening as many customers wait.

14
Celano's Family Pizzeria Flower Valley image 1

Carry-out setup with no dine-in tables creates a quick, casual atmosphere. Pizza features a St. Louis style crust and fresh ingredients, paired with well-seasoned wings. Pricing includes extra charges for condiments, which is uncommon among similar places.

Veggie pizza gets ordered repeatedly, showing it's a solid choice. Pasta dishes like chicken alfredo, mostaccioli, and ravioli come out very good and delicious.

Sausage and pepperoni pizzas feature prominently and get positive feedback. Small sausage and mushroom pizzas cost nearly 13 dollars, which is relatively high for the size.

People are saying

"I love their pizza; it's the best I order."

"I think their Italian food is the best pizza I've ever had."

"The sausage pizza here is a good St. Louis style."

Good to know

1

This pizzeria is takeout only, which affects the dining experience.

2

Online orders are cheaper than in-store prices.

3

They charge extra for dipping sauces like ranch or blue cheese.

15
La Pizza St. Charles image 1
Pizza restaurant

Minimalist interior with a casual, family-friendly setting creates a cozy atmosphere. Pizza offers authentic New York-style flavor with excellent quality that stands out locally. Space feels relaxing and comfortable, supported by fantastic music that enhances the vibe.

Pizza comes with good parmesan cheese and perfect mozzarella. Marinara sauce on garlic bread tastes great but the sauce on pizza is watery and diluted. Calzone is simple with ricotta and mozzarella inside dough.

Sausage comes mostly as thin slices or shaved strips rather than chunks. Some pizzas mix sausage with pepperoni and mushrooms. The style leans more toward breakfast sausage strips than traditional Italian sausage balls.

People are saying

"I thought this was the best New York style pizza I'd ever had."

"I loved the sliced sausages on my pizza."

"The Italian food's sauce and cheese were delicious."

Good to know

1

Reservations are recommended on Friday and Saturday nights due to high demand.

2

Parking can be challenging; consider arriving early to secure a spot.

3

Pizza by the slice is available, catering to different tastes.

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