How to Choose Healthy Meals at Italian Restaurants

Updated on January 17, 2018
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Kathy is a busy mom of two teens who loves to cook tasty and simple food for her family and friends.

It is possible to eat healthy meals at an Italian restaurant.
It is possible to eat healthy meals at an Italian restaurant. | Source

Eating at an Italian restaurant can be a minefield for anyone trying to watch their calories or eat healthy food. Many of the items on the menu are rich foods, either smothered in creamy sauce or gooey cheese, and high in fat, carbs, sodium, and calories.

To make matters worse, the serving sizes are often huge, and many restaurants offer extas like unlimited bread sticks before your meal (which can be hard to resist).

Guidelines for Choosing Healthy Meals

However, all of this is not a reason to avoid ever eating at an Italian restaurant again. You just need to be aware of the serious offenders to know which items to stay away from, as well as the healthier options.

In general, it's best to avoid anything fried, covered in creamy sauces, or laden with cheese.

Items that are grilled or steamed are typically the healthiest options, as they are lower in fat and calories than similar items that are sauteed or fried.

Try to avoid snacking on breadsticks or bread before your meal. Instead, have a salad with a light dressing or one of the healthier appetizers suggested below.

If you order pasta, choose one served with a tomato sauce rather than a cream or meat sauce. Beware of pasta portion sizes, which are typically huge. It's usually a safer option to go with a meat and vegetable entrée rather than an entrée based around a huge portion of pasta.

If you're craving pizza, stay away from deep dish pizza or pizza with thick or stuffed crusts. You'll also want to avoid meat toppings like pepperoni, sausage and bacon, which are all high in saturated fats, calories and contain nitrates. Instead, choose pizza with a thin crust and lots of veggie toppings and request 1/2 the cheese, if you're really trying to be good.

Instead of eating a whole pizza, just have one or two slices with some salad or veggies on the side. You can either share the pizza with someone else or save the rest for lunch or dinner the next day.

Pasta dishes are often very high in fat, carbohydrates and calories - choose wisely!
Pasta dishes are often very high in fat, carbohydrates and calories - choose wisely! | Source

Foods to Avoid

Red Flags on the Menu:
Reason to avoid:
A healthier option:
Alfredo sauce
Butter, cream, parmesan cheese
High in saturated fat and calories
Marinara sauce
Carbonara sauce
Bacon or pancetta, oil or butter, cheese, egg yolks, sometimes cream
High in saturated fat, sodium and calories
Pomodoro sauce
Fried or sauteed
Cooked in oil or butter
High in calories and saturated fat.
Grilled, baked or steamed
Cooked in large quantity of oil, often covered in batter
High in saturated fat and calories
Pretty much anything else
Stuffed pasta
Usually lots of cheese
High in calories, carbohydrates and saturated fat
Whole wheat pasta with tomato sauce
Chicken Parmiagana or Chicken Parmesan
Battered chicken (sometime deep-fried), lots of cheese
High in fat, sodium and calories
Grilled chicken
Garlic bread
Lots of oil or butter; often topped with cheese
High in calories, carbohydrates and fat
Thick crust or deep dish pizza
Lots of dough
High in carbohydrates and fat
Thin crust pizza
Large quanties of cheese and often meat
High in carbs, fat and calories
Spaghetti with marinara sauce
Steamed mussels are a healthy choice.
Steamed mussels are a healthy choice. | Source

Healthy Choices

If possible, it's a good idea to plan ahead by checking the restaurant's menu ahead of time. Most restaurants now post their menus online, so it's usually possible to plan exactly what you're going to order before you even arrive.

Here are some healthy menu options you may find at your favourite Italian restaurant:


  • Salad or "Insalata" - Look for salads with a variety of fresh vegetables, and order with an oil and vinegar or balsamic dressing. Avoid fatty extras like croutons, bacon bits, cheese and creamy dressings.
  • Soup - Choose broth based soups like minestrone over creamy soups.
  • Steamed mussels - low in fat and containing important nutrients, mussels are a healthy choice for either an appetizer or a meal.
  • Grilled calamari - a much healthier option than calamari that has been covered in batter and deep-fried.
  • Bruschetta - If you must have bread with your meal, bruschetta is a healthier option than bread sticks or garlic bread. It usually contains less fat, and you get the vitamins and antioxidants from the tomato topping.

More Healthy Eating Tips

  • Skip the empty calories from beverages and order water instead of soda or alcohol
  • If you think you might be tempted by the breadsticks before your meal, have a light snack before leaving for the restaurant. Something with a bit of protein in it will help you from devouring everything in sight while you wait for your meal.

Grilled or Roasted Vegetables Are a Healthy Choice

Substitute roasted vegetables for pasta or potatoes with your entrée for added nutrition and fewer calories.
Substitute roasted vegetables for pasta or potatoes with your entrée for added nutrition and fewer calories. | Source


  • Chicken Piccata
  • Chicken Marsala
  • Grilled Fish
  • Grilled Chicken Breast

For all of these, the healthiest side dishes are grilled or roasted vegetables or a salad.

If you really want some pasta, spaghetti with tomato sauce is your best choice. Marinara sauce and pomodoro sauce are good options, and you can choose whole wheat pasta, if it's available. Just watch the portion size! Most Italian restaurants serve obscenely large pasta serving sizes which are often enough for several meals.


The healthiest option is to skip dessert altogether, but some dessert options are definitely less deadly than others. The healthiest choices on the menu usually are:

  • Fruit sorbet
  • Fresh berries
  • Biscotti

While in theory it is quite possible to eat a very healthy meal at an Italian restaurant, in reality we all have our weaknesses. By being mindful of what the healthy options are, you may want to make a conscious decision to spurge on one part of your meal, while making healthier choices for the rest of your meal. For example, if tiramisu is your favourite dessert of all time, you may decide it's worth skipping the pasta and breadsticks to be able to indulge in dessert.

The trick is to just pick one indulgence to keep the meal as healthy as possible, and remember that often a small amount can be enough to satisfy your craving.

What's your biggest weakness at Italian restaurants?

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Questions & Answers

    © 2013 Kathy Sima


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      • profile image

        Candice Harding 3 years ago

        Breadsticks have always been my weakness at Italian restaurants. Checking the menu beforehand is a great idea, though. Lots of restaurants have really picked up on having health conscious options. Usually there will be a whole section devoted to healthier options, along with calorie and fat facts.

        Candice Harding

      • pstraubie48 profile image

        Patricia Scott 5 years ago from sunny Florida

        Eating at an Italian restaurant can be problematic. There are so many things that dangle right in front of your eyes begging to be eaten. Thanks for reminding me that I do have healthy alternatives that are filled with as much flavor as many of the not so healthy ones.

        Sending Angels your way this evening :) ps

      • Glimmer Twin Fan profile image

        Glimmer Twin Fan 5 years ago

        Chicken Marsala is my weakness. Glad to know it's not on the horrible list. Hmmmm, might have to make italian tonight. Useful hub.

      • DzyMsLizzy profile image

        Liz Elias 5 years ago from Oakley, CA

        ?? Pizza Hut?? That's about as much an Italian restaurant as McDonald's is a Chinese restaurant....

      • peachpurple profile image

        peachy 5 years ago from Home Sweet Home

        Thanks for yr advice. I seldom visit italian restaurant except Pizzahut. There i usually east spaghetti meals and small portion of pizza. Mushroom soup is nice. Hence, the food portion aren't that big. Voted up

      • DzyMsLizzy profile image

        Liz Elias 5 years ago from Oakley, CA

        Well, I love (vegetarian) Italian food...spaghetti with marinara sauce; cheese and spinach lasagna, neither of which are served in restaurants--it's always the meat variety.

        I also love eggplant, and eggplant parmigiana is often the ONLY vegetarian choice on the I'm doomed out of the gate, as this is usually fried....