The ketogenic diet has taken the world by storm, with millions of people doing their best to stick to a low-carb, high-fat plan. However, meal prepping and eating at home can get tiresome and make sticking to this diet difficult. Luckily, San Francisco is a foodie’s paradise, and the city is filled with keto-friendly options. From high-end restaurants to more casual dining spots, there's no shortage of keto-friendly meals to be found. Here are some of the top keto-friendly restaurants to check out in San Francisco as recommended by our communities worldwide!

As restaurants may change their menus from time to time, its best to check their websites and reviews by following the links, or simply give them a call before you visit them.

Heirloom
This café is a hidden gem in the Mission District, offering a 100% organic and locally sourced menu. Everything on their menu is carefully crafted with health and nutrition in mind, including the keto-friendly options. They offer a variety of keto-friendly breakfast options, such as their keto breakfast bowl, or their avocado toast on keto bread. For lunch and dinner, their pasture-raised meats paired with seasonal and locally sourced vegetables are fantastic options. Be sure to try their bone broth which is a great source of collagen protein with numerous health benefits.

Roam Artisan Burgers
Roam is a popular restaurant chain in San Francisco, offering a variety of keto-friendly options. The burgers are made with 100% grass-fed beef and are served on a lettuce wrap instead of a bun. They also offer customizable bowls, where you can choose your protein (like bison or turkey), veggies, and healthy fats, all topped with dressings. Their sweet potato fries, which are cooked in organic coconut oil are worth checking out. Be sure to ask for a gluten-free sauce option if you would like to add some flavor.

Little Gem
Little Gem is a fantastic spot that caters to individuals with a variety of dietary needs. They offer gluten-free and dairy-free options, and their plant-based menu has plenty of keto-friendly options. For morning dining, make sure to try the salmon and avocado toast on their keto bread. For lunch, make sure to try the rotisserie chicken with a side of roasted vegetables. They also have plenty of sides, such as the sautéed kale or mushrooms, perfect for those looking to add some healthy fats to their plate.

Pizzetta 211
Pizza is not usually on a keto-friendly list, but Pizzetta 211 offers keto-friendly toppings like sausage, pepperoni, and veggies that can be served on an almond flour crust. Their salads are also keto-friendly, and their roasted cauliflower salad with crispy prosciutto is a standout option. Make sure to pair it with a glass of organic wine from their extensive wine list.

Basa Seafood Express
Basa Seafood Express is located in the heart of San Francisco, and it's an elegant yet approachable restaurant that's perfect for those on a keto diet. With a variety of fresh seafood options available including fish like salmon and cod, you can get a delicious and healthy meal any time of the day. They also have a vegetable dish that's perfect for keto dieters, which is their roasted brussels sprouts.

Royal Exchange
Royal Exchange is a perfect place in San Francisco to grab lunch or drinks. This restaurant has a keto-friendly menu, and they have a separate section of their menu dedicated to keto options. They serve dishes like their "Royal Salad" that has eggs, avocado, bacon, cucumber, and mixed greens which is perfect for anyone who wants a low-carb meal. They also serve different keto-friendly appetizers and cocktails as well.

Greens Restaurant
Greens Restaurant is a vegetarian restaurant, but don't let that stop you from dining here if you're on a keto diet. They offer many low-carb and keto-friendly options on their menu like their Caesar Salad that comes with roasted brussels sprouts, and their "6 Side Plate" which lets you choose from a variety of different keto-friendly sides. The restaurant doesn't focus on meat or seafood mains, but their salads and sides are enough for a great keto meal.

Burma Superstar
Burma Superstar is a wonderful restaurant option in San Francisco, particularly for those following a keto diet. Their dishes are incredibly flavorful and packed with good fats and protein - perfect for some really satisfying keto meals. Some of their keto-friendly dishes include their "Coconut Rice with Shrimp Curry" and their "Burmese Tea Leaf Salad". You'll also never run out of options because their menu has almost 100 different dishes that you can choose from.

The Cavalier
The Cavalier is an elegant and upscale British-inspired restaurant located in SoMa that specializes in meat dishes, specifically steak. This restaurant offers a special keto-friendly menu that consists of steak, seafood, cheese plates, and side dishes such as roasted vegetables and Brussels sprouts. Be sure to try the wood-grilled avocado with bacon and citrus aioli for a satisfying appetizer, or the grilled salmon with herb butter sauce for a filling main dish.

Beretta
Beretta is the perfect spot for those who are looking for a casual dining experience with a keto-friendly menu. The restaurant specializes in wood-fired pizza, but they also offer a variety of salads and small plates that are perfect for the keto-diet. Try the crispy pork belly with apple cider gastrique, or the Brussels sprouts with lemon butter and parmesan.

Farmhouse Kitchen Thai Cuisine
Farmhouse Kitchen is a contemporary Thai restaurant located in the Mission District. The restaurant offers a variety of keto-friendly options such as larb kai, which is ground chicken mixed with herbs, roasted rice powder, chili powder, and lime juice. Other keto-friendly options include the grilled beef salad with toasted rice powder, the papaya salad with chili lime dressing, and the Tom Kha soup with coconut milk, mushrooms, and lemongrass.

Aziza
Aziza is a Moroccan restaurant located in the Richmond District that offers an eclectic menu with a Mediterranean influence. The menu is full of keto-friendly options such as the lamb chops with harissa and lemon, or the roasted vegetables with pistachios and Moroccan spices. Be sure to try the crab salad with avocado, lemon, and mint, or the grilled octopus with chermoula and celery salad.

Conclusion

There are plenty of keto-friendly restaurants to check out in San Francisco 2023. Whether you're looking for casual dining or upscale cuisine, these five restaurants are a fantastic place to start. With plenty of options for breakfast, lunch, and dinner, you can indulge in delicious keto-friendly meals that won't leave you feeling deprived. Whatever your dietary preferences are, San Francisco will have something to offer you. So grab a friend and head to one of these fantastic spots in the city to enjoy a scrumptious meal.

Do you know of any more keto friendly restaurants in San Francisco? Share the news so we can all go and check them out!