San Francisco has more strong opinions about pizza than almost anywhere in the country, which is impressive for a city that spent decades insisting sourdough was the only bread that mattered. Getting a gluten-free slice here means navigating menus where the crust is the whole point, and kitchens that treat a gluten-free base as a courtesy swap rather than something worth doing well. The list below is the places that actually get it right. For a more specific search, our picks for GF pizza in Russian Hill and GF pizza in North Beach are good places to go next, and gluten-free breakfast and brunch across the city is covered too.
Updated Oct 6, 2026
CleanPlate Weekly
The safest gluten-free spots in NYC — a few hand-picked places in your inbox each week.
Russian Hill · Italian
Extensive gluten-free pasta and pizza options with clear menu labeling and knowledgeable staff; most diners report positive experiences, but flour-heavy kitchen and shared equipment mean higher risk for highly sensitive celiacs.
Extensive gluten-free pasta and pizza options with clear menu labeling and knowledgeable staff; most diners report positive experiences, but flour-heavy kitchen and shared equipment mean higher risk for highly sensitive celiacs.
CleanPlate Weekly
The safest gluten-free spots in NYC — a few hand-picked places in your inbox each week.
