Italian-American Dishes
by Alex Evins (v.02/24)

This is a compendium of Italian-American and Italian emigrant foods and dishes unique to or popularized in the United States, that are generally not found in Italy or have been modified beyond recognition of their ancestral dish. For information on Italian cuisine, see our Italian Food Reference.


  • Antipasto Salad (Typically Lettuce with Olives, Artichokes, Tomatoes, Salami, and Cheese)
  • Cioppino (Americanized Version of Ciuppin Similar to Cacciucco alla Livornese)
  • Caprese Salad with Balsamic Vinegar/Glaze or Pesto
  • Cold Antipasto Platter (Americanized Pickled Vegeteble Forward Version of Tagliere di Salumi)
  • Italian Meatball Soup (Tomato-Based Soup with Pasta and Meatballs)
  • Italian Wedding Soup (Americanized Version of the Neapolitan Minestra Maritata)
  • Spiedini alla Romana (Derivative of Crostini alla Provatura e Alici)

Pasta Dishes

Meat Dishes

  • Chicken Francese
  • Chicken, Veal, Meatball, or Sausage Parmesan/Parmigiana
  • Chicken Piccata (As Opposed to the Italian Piccata di Vitello)
  • Chicken Riggies (Regional to the Utica-Rome area of New York State)
  • Chicken Vesuvio (Regional to the Chicago Area)
  • Italian Chicken Wings (Fried Chicken Wings Typically with Dried Herbs, Garlic, and Parmesan)
  • Italian Sausage (Of the Standardized Mass Market Hot/Sweet Variety)
  • Pork Chops with Hot/Sweet Cherry Peppers
  • Tuscan Chicken (Chicken Breast with Spinach, Sun-Dried Tomatoes, and Heavy Cream)

Seafood Dishes

  • Clams Casino
  • Clams/Shrimp Oreganata (Also Known As Baked Clams)
  • Mussels Marinara (In a Tomato Sauce Sauce; Distinct from Tomatoless Cozze alla Marinara)
  • Shrimp Francese (Battered Shrimp in a Lemon-Butter, Garlic, and White Wine Sauce)
  • Shrimp Parmesan/Parmigiana
  • Shrimp Scampi (Shrimp in a Garlic, White Wine, and Butter Sauce; Often Served Over Pasta)



  • Mozzarella in Block, Slice, Shredded, or String Form§
  • Mozzarella Sticks with Tomato Sauce (Similar to Mozzarella in Carrozza or Mozzarelline Fritte)
  • Parmesan (Pasturized Imitation Parmigiano Reggiano)

Breads and Pizza


*Carbonara: Anything aside from guanciale, pecorino Romano, black pepper, and, in some cases, grana padano.

**Fettucine Alfredo: Fettucine Alfredo originated in name at a single restaurant in Rome, Alfredo alla Scofra, as a richer version of a common Italian dish known as pasta al burro e parmigiano—consisting of only pasta, butter, parmigiano reggiano, and pasta water. The mixing (“mantecare”) of the fat from the butter and cheese with the starch from the pasta water creates an emulsified sauce (“mantecatura”)—similar in process to the traditional Roman pastas cacio e pepe, gricia, and carbonara—and like carbonara, there is and was no cream in this dish. Unlike carbonara and the other traditional Roman pastas, which are prepared with pecorino romano, Fettuccine Alfredo is made using parmigiano reggiano, a northern Italian grana cheese that is uncommon in Roman cuisine. When this simple dish began to gain popularity in the United States in the latter half of the 20th century, it was replicated and even further simplified by replacing the emulsified sauce with heavy cream. Eventually other ingredients common in Italian-American cuisine, like garlic and dried oregano, made their way into the dish. The original emulsified pasta al burro e parmigiano is still commonly eaten in Italy, especially by ill children, but not under the Alfredo name and never with cream. Today, Fettucine Alfredo is found only in two restaurants in Rome, Alrefo alla Scofra and Il Vero Alfredo, both established by Alfredo di Lelio. In Naples, pasta al burro e parmigiano is known as pasta dei cornuti, or “pasta of cuckolds.” This dish of spaghetti or rigatoni, butter, parmigiano, and black pepper earned its name from its simplicity to make, and, as the anachronistic story goes, from wives who had extramarital affairs and, in the short time available before their husbands returned home, needed to put a hot meal on the table without being discovered. This is not the only Neapolitan pasta with a tantalizing name; spaghetti alla puttanesca—spaghetti with a tomato-based sauce including anchovies, black Gaeta olives, and capers—literally translates to “pasta in the style of whores.” The complete history of Fettucine Alfredo is well described by Luca Cesari in The Discovery of Pasta: A History in Ten Dishes.

Lasagna: In Italy, lasagne al forno represents a diverse range of baked pasta dishes that vary by region. For instance, Lasagne Verdi alla Bolognese from Bologna features fresh green spinach egg pasta layered with béchamel and Bolognese ragù—a slow-cooked beef and pancetta (pork) based meat sauce. Lasagne alla Napoletana/di Carnevale from Naples is markedly different, featuring layers of dry semolina pasta with ruffled edges ("lasagna riccia") layered with ricotta, small meatballs, hard-boiled eggs, provola, and Ragu alla Napoletana—a slow-cooked veal, pork sausage, and pork rib-based sauce. No Italian lasagne contains the copious amounts of melted cheese commonly found in Italian-American lasagna, which is more standardized and richer—generally consisting of pasta sheets layered with ricotta, grated Parmesan, a garlic-rich ground beef or Italian sausage based tomato meat sauce, and large amounts of American shredded low-moisture mozzarella.§ Italian-American lasagna is also generally much taller than its Italian counterpart, either from the addition of more layers or from placing significantly more filling between layers. Italian-American lasagna is thus an entirely distinct dish, reflecting the adaptation and amalgamation of lasagne al forno for the American consumer and home cook, and does not closely resemble any Italian lasagne, with its drastically different ingredients and cheese-to-pasta ratios.

§American Low-Moisture Mozzarella: A type of hard low moisture mozzarella specific to North America—a young cow’s milk cheese more reminiscent of Caciocavallo or Scamorza—distinct in production, flavor, and consistency from the Italian Mozzarella per Pizza—a type of packaged soft fior de latte (cow's milk mozzarella) in ball, log, cubed, or juliened form that has been squeezed to remove excess moisture.

Gastronomic Pseudo-Italianisms: A plethora of faux Italian gastronomic terms, such as “cioppino” and “cascatelli,” exist in the American English lexicon. Other notable examples include “al fresco,” which is equivalent to the Italian all’aperto (in Italian, al fresco actually means “in prison”); “rollatini,” known in Italian as involtini; “rotini,” known in Italian as fusilli; “manicotti,” comparable to Italian cannelloni; “orzo,” known in Italian as risoni (in Italian, orzo means barley); and “mostaccioli,” a regional American term for smooth penne, known in Italian as penne lisce (in Italian, mostaccioli most commonly refer to various types of cookies). While “pepperoni,” in American English, refers to a type of spicy American salami, peperoni in Italian means bell peppers. In English, biscotti refer to a specific type of Tuscan almond cookie known in Italian as cantucci, whereas in Italian, biscotti is a general term for cookies or biscuits. Additionally, in English caffè latte is often shortened to latte, which is the Italian word for milk. If you order a latte in Italy you will be served a glass of milk. To order a mixture of coffee and milk in Italy, one must ask for a latte macchiato or caffè latte—of which the latter is not consumed after 11:00 am.

Singular vs Plural Italianisms: In American English, some Italian food loanwords are improperly used in their plural form. For example, panini is the plural form of the Italian word panino, meaning a single sandwich, whereas in American English panini is often used to refer to a single sandwich. The same is true for cannoli in English, where cannoli is usually used as a singular, but it is grammatically plural; the corresponding singular is cannolo. Other common examples include lasagna (singular) and lasagne (plural), salame and salami, gelato and gelati, raviolo and ravioli, etc.

Italian-American Pronunciation: Many Italian-Americans, particularly those from the New Jersey area, have adopted a distinct apocopic pronunciation scheme, somewhat reminiscent of Neapolitan and Sicilian dialects, that involves dropping the last vowel of some words—a linguistic phenomenon not present in standard Italian. A vowel shift in the pronunciation of the “o” sound from “oh” to “uh” is also characteristic. For example, mozzarella (“mohz-zah-REHL-lah”) is pronounced “muhtz-zah-rel,” prosciutto (“pro-SHOOT-oh”) as “pruh-shoot,” bolognese (“boah-loan-YAY-zeh”) as “bowl-un-yayz,” calzone (“cal-ZOH-neh”) as “cal-zone,” pasta e fagioli (“pasta e fah-JOE-lee”) as “pasta ah fa-zhool,” giardiniera (“jar-dean-YAIR-ah”) as “jar-din-air,” and capocollo (“cah-poh-COH-low”) as “gabagool.” In standard Italian, every letter is pronounced, including the last vowel and each letter in double consonants, apart from the letter “h,” which is silent. Additionally, mascarpone (“mahs-car-POH-neh”) is frequently mispronounced as “mar-sca-pone.” For more, see our guide to Italian Pronunciation.

Japanese-Italian: For information on Japanese-Italian Cuisine, known as Itameshi (イタ飯) or Wafu-Italian (和風イタリアン), see this guide, as well as these recipes for Pepe-Tama and Mentaiko Spaghetti.

Ingredients/Techniques/Styles Not Used in Italy

  • Garlic – Cooking with/Consuming Large or Excessive Amounts of Garlic
  • Dried Herbs/Spices – Heavy Use of Garlic Powder, Dried Basil, Dried Oregano, etc.
  • Cream Sauces – Use/Overuse of Milk or Heavy Cream in Pastas
  • Chicken – Dishes, Especially Pizza, Pasta, or Pesto, with Chicken Placed On Top
  • Pasta as a Side Dish – Served Next to or Underneath Proteins
  • Cheese with Seafood – Using Cheese on Fish/Seafood (e.g. Shrimp Alfredo/Parmesan)
  • Overcooked Pasta – As Opposed to Firm or Al Dente/Al Chiodo
  • Over Sauced Pasta – Pasta Drowning in Sauce, Especially in Watery “Marinara”
  • Sauce Added Atop Pasta Rather Then Adding Pasta to the Sauce and Mixing
  • Oil in Pasta Water – Putting Oil into Pasta Cooking Water
  • Sweetening – Adding Sugar to Savory Dishes, Namely Tomato-Based Sauces#
  • Breaking Spaghetti – Breaking Spaghetti in Half to Fit into Cooking Pot
  • Fresh Pasta – Inappropriately Using Fresh Pasta or Somehow Viewing Fresh Pasta as Superior to Dried Pasta


Holiday Meals




“Italian” Named Items (Grouped)

Garlic: Italian-American cuisine is often characterized by its heavy use of garlic, both for cooking and consumption. In Italian-American recipes, it is not uncommon to find multiple cloves of garlic used in a single dish, especially where it is minced, incorporated into, and served with the dish. This is in stark contrast to the parsimonious use of garlic in Italian cuisine, where garlic is typically utilized to infuse flavor into olive oil by cooking one or two whole crushed garlic cloves that are removed prior to serving. This is not uncommon even in dishes that are defined by their use of garlic, including spaghetti aglio e olio, as the purpose of garlic is to enhance the flavor of the oil rather than to be consumed directly. In Italy, garlic has been historically associated with poverty, particularly in regions that experienced economic hardships following the country's unification in 1861. The majority of Italian immigrants who came to the United States were escaping this poverty, but their use of garlic, a cheap and easily accessible ingredient, followed them and became central to Italian-American cooking. Conversely, as Italy developed economically through the latter half of the 20th century, the use of garlic became stigmatized due to its prior association with dishes of the poor, where it was used to compensate for flavor in the absence of other ingredients. There are of course rare exceptions where garlic is directly consumed—including pesto alla genovese, bagna càuda, and soma d'aj piemontese, all from Northwest Italy—but these remain the exception and not the rule. In Italy, heavy use of garlic is more closely associated with East and Southeast Asian cuisines. Additionally, in several regions, including Abruzzo, dishes that contain cheese traditionally do not contain onion, garlic, or parsley. Furthermore, it Italy, onion and garlic are typically not used together, with garlic being more common in seafood dishes. In parts of Tuscany, a much milder version known as aglione (elepehant garlic), or Aglione della Valdichiana, is sometimes used in place of aglio (garlic), especially for pici all'aglione.

Milk and Cream: In Italy, the use of milk or heavy cream in pastas, aside from very small amounts, is considered passé. Cream sauces or cream-based sauces are rare and differ significantly in consistency from their Italian-American counterparts. Italians tend to view milk and cream as heavy foods that hinder digestion—hence why cappuccinos are not consumed after 11:00 am. This may be the result of the exceedingly high 72% lactose malabsorption rate in Italy, especially as milk and cream contain significantly higher lactose contents than cheese or gelato—especially Parmigiano Reggiano, which is naturally lactose-free.

#Sugar in Tomato Sauces: The addition of sugar to Italian-Amerian tomato sauces can likely be traced back to Southern Italian immigrants who were compensating for the less flavorful fresh and canned tomato varieties found in North America—varieties bred for uniform size, shape, and color, rather than flavor—which lack the intense sweetness and flavor of the tomatoes grown in Southern Italy, such as the Piennolo del Vesuvio, Pomodoro di Pachino, San Marzano dell'Agro Sarnese-Nocerino, and others.

Fesh vs Dry Pasta: Neither dry nor fresh pasta is superior to the other, nor are they interchangeable. They are different and used differently, and for different dishes. Dry pasta is firm and cooked al dente, and typical of southern Italian dishes, whereas fresh pasta is soft and delicate and used for stuffed pastas, and is typical of northern Italian dishes. Fresh pasta cannot, by its nature, be cooked al dente, as it never possesses the necessary firm white core of ungelatinized starch. A pervasive myth to the contrary is prevalent among non-Italians, which is an indicator that Americans are severely overcooking their dry pasta. As dry and fresh pasta are not interchangeable, there are many dishes for which fresh pasta should never be used for texture reasons, including carbonara, gricia, amatriciana, vongole and many southern Italian pasta dishes. For a guide to buying dry pasta, see our Pasta Brand Ranking.

Marinara Sauce: In Italy, alla marinara refers either to sauces made with Mediterranean fresh herbs (such as fresh basil and oregano and often olives, capers, and/or anchovies) or seafood, and does not imply the inclusion or exclusion of tomato. Marinara is also synonymous with pizza alla marinara—a Neapolitan pizza topped with only crushed raw tomatos or tomato passata, garlic, oregano, and olive oil. The Italian-American thin cooked tomato based “marinara sauce”—generally consisting of tomatoes, multiple cloves of garlic, dried oregano, and onions—that is commonly used as a pasta or dipping sauce, does not exist in Italy. Italian-American "pasta/spaghetti marinara" is most similar to the Italian pasta al pomodoro, which is much thicker, more viscous, and not comparable in consistency, or the Neapolitan pasta allo scarpariello (“pasta of the shoemaker/cobbler”).

“Red Sauce Joints”: For Italian-American “Red-Sauce Joints” in New York City, we recommend Bamonte's, Emilio's Ballato, Campagnola, Don Peppe, Monte's Trattoria, Dominick's, and Sam's. For Italian-American sandwiches, we recommend Faicco’s Italian Specialties and Fiore's House of Quality. For more, see our New York City Guide. For Italian-American restaurants around the United States, see the Regional and Ethnic Cuisine section of our American Classics list.