Best Keto-Friendly Restaurants in San Francisco

Explore San Francisco's finest keto-friendly dining options, featuring restaurants that cater to low-carb lifestyles while maintaining the city's high culinary standards.

Top Keto-Friendly Spots

House of Prime Rib

$$ Keto-FriendlyGluten-Free OptionsLow-Carb
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San Francisco institution famous for perfectly prepared prime rib carved tableside. Ideal for keto diners with its meat-focused menu and low-carb sides.

Must Try:

  • California Cut Prime Rib
  • Creamed Spinach
  • Yorkshire Pudding (skip for keto)
  • Horseradish

Nob Hill

Kokkari Estiatorio

$$ Keto-FriendlyGluten-Free OptionsMediterranean Diet
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Upscale Greek restaurant offering plenty of keto-friendly options including grilled meats, seafood, and Mediterranean specialties.

Must Try:

  • Lamb Chops
  • Grilled Octopus
  • Moussaka (modified)
  • Greek Salad

Financial District

Waterbar

$$ Keto-FriendlyGluten-Free OptionsPescatarian
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Sophisticated seafood restaurant with stunning Bay Bridge views, offering fresh catches and shellfish perfect for keto diners.

Must Try:

  • Oyster Platter
  • Grilled Fish of the Day
  • Lobster
  • Crab Legs

Embarcadero

Epic Steak

$$ Keto-FriendlyGluten-Free OptionsLow-Carb
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Modern steakhouse with waterfront views, offering premium cuts of meat and low-carb sides perfect for keto dining.

Must Try:

  • Dry-Aged Ribeye
  • Bone Marrow
  • Brussels Sprouts
  • Cauliflower Gratin

Embarcadero

Esposto's Delicatessen

$ Keto-FriendlyLow-CarbGluten-Free Options
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Classic Italian deli offering customizable salads and protein-rich options perfect for keto lunch options.

Must Try:

  • Italian Cobb Salad
  • Custom Meat & Cheese Plate
  • Chef's Salad
  • Italian Cold Cuts

Financial District

Causwells

$$ Keto-FriendlyGluten-Free OptionsLow-Carb
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American bistro offering burger bowls and other keto-friendly modifications to their classic dishes.

Must Try:

  • Americana Burger (no bun)
  • Grilled Caesar
  • Roasted Chicken
  • Brussels Sprouts

Marina District

Fog Harbor Fish House

$$ Keto-FriendlyGluten-Free OptionsSustainable Seafood
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Sustainable seafood restaurant with panoramic bay views, offering numerous keto-friendly seafood options.

Must Try:

  • Whole Dungeness Crab
  • Grilled Salmon
  • Mixed Grill
  • Seafood Cobb Salad

Fisherman's Wharf

Lolinda

$$ Keto-FriendlyGluten-Free OptionsLow-Carb
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Argentinian steakhouse offering a variety of grilled meats and keto-friendly sides in a stylish setting.

Must Try:

  • Asado Mixed Grill
  • Empanadas (filling only)
  • Grilled Vegetables
  • Chorizo

Mission District

Palette Tea House

$$ Keto-FriendlyGluten-Free OptionsLow-Carb Asian
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Modern dim sum restaurant offering keto-friendly modifications and protein-focused dishes.

Must Try:

  • Peking Duck (no pancakes)
  • Garlic Prawns
  • Sashimi Platter
  • Chinese Broccoli

Ghirardelli Square

Niku Steakhouse

$$ Keto-FriendlyGluten-Free OptionsLow-Carb
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High-end Japanese-inspired steakhouse specializing in A5 Wagyu beef and other premium meats perfect for keto dining.

Must Try:

  • A5 Wagyu
  • Bone Marrow
  • Grilled Seasonal Vegetables
  • Wagyu Tartare

Design District