And What to Get Instead
Italian-American is not Italian
Many dishes Americans think of as "Italian" were invented in the United States. In Italy, they either do not exist or mean something completely different. Here is your cheat sheet.
We have all been there. You open a menu in Rome, see "Spaghetti Bolognese," and think you are in for an authentic treat. Except the waiter looks at you funny, the dish is mediocre, and you realize something is off.
Italian-American cuisine — the food most Americans grew up with — is a beloved cuisine of its own. But it is not Italian food. Ordering chicken parmigiana in Florence is like ordering a hamburger at a sushi restaurant. It just does not belong.
What they really are, why they are wrong, and what to order instead
It does not exist in Bologna. The real dish is tagliatelle al ragù — flat egg noodles with a slow-cooked meat sauce. Spaghetti is the wrong pasta shape entirely.
Tagliatelle al Ragù (in Bologna) or any regional pasta specialty
You will find it in Rome at one or two tourist-trap restaurants that cater to Americans. Real Italians do not eat it. It is an American invention loosely based on a Roman butter-and-cheese pasta.
Cacio e Pepe (Rome) or Pasta alla Gricia (Rome)
This is Italian-American comfort food, not Italian food. You will not find it on a menu in Italy. Parmigiana refers to eggplant (melanzane alla parmigiana), not chicken.
Melanzane alla Parmigiana or Saltimbocca alla Romana
Italians do not serve bread as a vehicle for garlic and butter. Bread is for mopping sauce (fare la scarpetta) or eating plain between courses to cleanse your palate.
Fresh bread from a local forno (bakery) with olive oil on the side
"Peperoni" in Italian means bell peppers. If you order "pepperoni pizza" you will get a pizza with peppers. American pepperoni (spicy salami) is called "salame piccante" and is not a standard topping.
Pizza Margherita (Naples) or Diavola with spicy salame
Invented by an Italian-American in Mexico, not Italy. You might find a version in tourist areas, but it is not Italian cuisine and locals do not eat it.
Panzanella (Tuscan bread salad) or Caprese Salad
A cappuccino or any milky coffee after 11am is considered strange. Italians believe milk interferes with digestion. After a meal, you get a caffè (espresso), period.
Un caffè (espresso) or un caffè macchiato if you must have a drop of milk
That sweet, herb-filled bottled dressing from the American grocery store? It does not exist in Italy. Italians dress salads with olive oil, vinegar or lemon, and salt — at the table, not in the kitchen.
Ask for olio e aceto (oil and vinegar) on the side
The real dishes Italians eat in their hometowns

Roman cuisine is bold, salty, and unapologetic. The pasta sauces are built from pecorino, guanciale, and black pepper — no cream, ever.
Bologna is Italy's food capital. The ragù here simmers for hours. Tortellini are tiny, delicate, and served in broth — never with a heavy sauce.
Naples invented pizza. The dough is soft, chewy, and blistered in a wood-fired oven. If it does not have a raised, charred crust (cornicione), it is not real Neapolitan pizza.
Florentine steak is a ritual — a massive T-bone grilled rare over charcoal, shared between two people. It is not cooked past medium-rare, ever.
Venetian cuisine is seafood-forward and surprisingly humble. Baccalà (salt cod) is whipped into a silky spread. Sarde in saor is sweet and sour sardines — an ancient preservation method.
Sicilian food is a 2,000-year melting pot — Arab, Norman, Spanish, and Greek influences. Arancini are fried rice balls filled with ragù and peas. Cannoli should be filled to order, not sitting pre-filled in a case.
The single best thing you can do at any Italian restaurant is ask: "Cosa ci consiglia?" (What do you recommend?). Italians take pride in guiding guests to the best dishes. They will tell you what is fresh, what is in season, and what the kitchen does best.
Trust them. The worst meal you will have in Italy is the one where you tried to outsmart the menu. The best one is where you let the locals choose for you.
Lorna takes her groups to the restaurants where she eats with her own family. No tourist menus, no Italian-American dishes — just the real food that real Italians eat every day. From Roman trattorias to Neapolitan pizzerias, you will taste Italy as it was meant to be tasted.