Eating keto in San Francisco can mean a cauliflower-rice bowl, a lettuce-wrapped burger or a steak dinner with the starchy sides left behind. The useful detail is the actual order, not whether the restaurant describes itself as healthy.
This list of 14 restaurants was checked in October 2026. Menus change, so check before you go. Where the research couldn’t verify a low-carb dish, the entry says so instead of inventing one.
Order anywhere: start with protein plus vegetables, ask for sauces on the side, and confirm any substitutions with the kitchen.
I’d start with a menu that names the swap. Gluten-free bread still has carbs. Sadly, the adjective doesn’t cancel the loaf.
Bowls, burgers and salads
Kitava
Kitava’s Mission District restaurant is at 2011 Mission St. Its Mission menu lists a Build-Your-Own Bowl with a cauliflower rice base and a Grilled Salmon protein add-on.
That’s a more useful starting point than a standard rice bowl. Check sauces and leave out rice, plantains and sweet potato additions. The Paprika Chicken Protein Plate comes with jasmine rice, so ask whether you can swap that side. No burger-bun workaround is needed here: the researched menu doesn’t list burgers.
Roam Artisan Burgers
The Union Street location is at 1785 Union St, with another San Francisco location on Fillmore Street. The burger menu explicitly offers a Lettuce Wrap, with beef, bison and turkey patties among the choices.
Use that listed wrap option, then check sauces and toppings. A lettuce wrap doesn’t make every burger combination low carb, and fries still need to stay off the order. The research doesn’t confirm customizable salad bowls.
Mixt
San Francisco locations include 51 Yerba Buena Ln, 100 California St, 1210 9th Ave and 901 Valencia St. The San Francisco menu provides carbohydrate counts, which makes comparison easier.
The MIXT COBB is listed at 11g carbs; the MIXT CAESAR is listed at 19g. Those are the menu’s listed carbs, not verified net-carb figures. Compare the complete order with your budget, and check dressing and toppings before adding extras. Most other salads and the warm bowls carry substantially more carbs.
Causwells
Causwells is a burger and bistro spot at 2346 Chestnut St. Its Market Caesar Salad is a verified starting point; check the San Francisco menu for the current version.
Ask about croutons, dressing and other toppings before ordering. No keto section or burger-wrap swap was established in the research, so don’t assume the signature burger comes with a low-carb workaround.
Seafood, Greek food and Japanese grilling
Kokkari Estiatorio
This Greek restaurant is at 200 Jackson St. The menu lists Octapodaki tou Yiorgou, grilled octopus with lemon, and an Octopus Salad with charcoal-grilled octopus, Greek peppers and frisee.
Use those as your starting point and ask about the full plate, dressing and any bread or starchy accompaniments. The research also lists Paidakia, grilled lamb chops, based on reviews; confirm those on the current menu before planning around them.
Rintaro
Rintaro is a Japanese restaurant at 82 14th St. The researched sample set menu lists Kanpachi no Sashimi, Honmaguro Ni Shu no Sashimi and Yakitori.
Because that source is a seasonal sample from 2025, confirm today’s availability and whether those items can be ordered in a combination that fits your needs. Ask about sweet glazes on grilled chicken. Wheat noodles aren’t a low-carb accompaniment, and no special modified miso soup was verified.
Scoma’s Restaurant
Scoma’s is at 1965 Al Scoma Way, Fisherman’s Wharf. Its food menu lists Oysters on the Half Shell, Dungeness Crab Cocktail, Dungeness Crab Louie Salad and Mixed Seafood Grill.
Ask about cocktail sauces, salad dressing and grill accompaniments. Keep sauces separate and confirm which sides can be omitted. Don’t count on removing potatoes from prepared clam chowder as a menu option.
McCormick & Kuleto’s Seafood & Steaks
This seafood and steak restaurant is at 900 North Point St in Ghirardelli Square. Spice Roasted Salmon appeared in the research’s search preview of the official location page, but a full readable menu wasn’t available.
Confirm that dish before making plans around it. If available, ask about its seasoning, sauce and sides, and whether vegetables can replace starches. The research doesn’t support a longer list of named seafood recommendations here.
Steak and prime rib
Bullshead Restaurant
Bullshead is a family steakhouse and burger restaurant in West Portal, at 840 Ulloa St. The researched options include Ribeye, New York and Filet Mignon steaks, served with soup or salad.
Check the official site for the current menu and confirm the steak choices, since the researched dish details came from third-party listings. For a low-carb order, check the salad toppings and dressing rather than assuming any soup will fit. No cauliflower puree or special deviled-egg order was verified.
Mastro’s Steakhouse
Mastro’s is at 399 Geary St. Its San Francisco menu page lists Petite Filet, Bone-In Filet, Bone-In Ribeye, Lobster Tail, Chilled Red King Crab Legs and Chilean Sea Bass.
Start with the protein you want, then ask about sauces and side preparation. Keep starches off the order and request sauces separately. The research doesn’t establish a particular soy-and-ginger preparation for the sea bass.
House of Prime Rib
House of Prime Rib is at 1906 Van Ness Ave in Nob Hill. Prime rib, including the English cut, is the verified main to build around.
Check the official menu site and ask to leave off potatoes and Yorkshire pudding. Confirm the remaining accompaniments before ordering. The research doesn’t establish the seafood starters previously attributed to this restaurant.
More places where the order needs confirmation
These restaurants are open, but the research didn’t verify specific low-carb dishes. Use the menu links and ask about the whole order before choosing one for a keto meal.
As Quoted
As Quoted is a gluten-free, organic cafe at 3613 Sacramento St. Its menu page is image-based, and no named low-carb option was verified.
Ask whether a plain protein-and-vegetable combination is available without bread or wraps, with dressing separate. That is an ordering question, not a confirmed menu item. Gluten-free toast and a bread-based wrap aren’t keto just because they’re served at a gluten-free cafe.
Lapisara Eatery
Lapisara is an American-Thai fusion brunch and dinner restaurant at 698 Post St. Check the menu and ask which proteins can be prepared without breading or sweet sauces.
For brunch, ask to omit the potatoes and toast that accompany plates and whether vegetables can replace them. No named low-carb dish was verified, and the research doesn’t support claims that its soups contain no added sugar or carbs.
Mersea
Mersea is on Treasure Island at 699 Avenue of the Palms. Its menu was available as a PDF or image, so specific low-carb dishes weren’t verified.
Ask whether the kitchen can put together plain protein and vegetables without breading, starches or sweet sauces. Confirm what is available and how it’s prepared. Don’t plan around a cauliflower-rice bowl that the research couldn’t establish.
Before you order
Check the sides and sauces even when the main looks straightforward. For more practical combinations, use the keto fast food guide and the guide to salad dressings on keto.