Spinasse probably takes the cake for the best Italian food I've had. It's a bit pricey, but the quality of the food is amazing. The pasta is amazing and handmade. The restaurant is small and cozy, with more elegance than a lot of Seattle restaurants (the PNW is casual, so you probably won't think this is fancy if you're coming from NY or the like).
1531 14th Ave, Seattle, WA 98122, USA