Our Favorite Places to Get Pizza in Hilton Head

Last Updated:
December 10, 2025

Hilton Head Island is known for its sandy shores, world-class golf, and relaxed Lowcountry charm—but ask any local, and they’ll tell you the island’s pizza scene is just as impressive. Whether you’re craving a classic New York–style slice, artisan pies with creative toppings, or a family-friendly spot perfect after a beach day, Hilton Head delivers some seriously delicious options. If you’ve ever wondered where locals go for great pizza on Hilton Head, this is your answer. From long-loved institutions to creative modern pizzerias, here are the top spots you won’t want to miss on your next island getaway. Let’s dig in!

Best Places to Get Pizza in Hilton Head

Guiseppi’s Pizza & Pasta House

If you ask locals where to find the most iconic pizza on Hilton Head, Guiseppi’s is almost always the first name that comes up. A staple on the island, this family-owned pizzeria is committed to quality—from their hand-cut meats and veggies to the slow-simmered signature sauce that gives every pie its rich, comforting flavor.

Their pizzas strike the perfect balance of crispy crust, melty cheese, and perfectly seasoned toppings. Whether you love a loaded supreme or a simple margherita, every slice tastes like it’s made with care. Beyond pizza, the menu is packed with delicious sandwiches, pastas, and salads, making it a great option for a group. With dine-in, takeout, and delivery, Guiseppi’s is also one of the easiest ways to enjoy a cozy dinner in your Host & Home vacation rental.

Local Pie

For a creative twist on traditional pizza, Local Pie is a must-visit. As Hilton Head’s first and only true Neapolitan-style wood-fired pizzeria, they specialize in handcrafted pies cooked to perfection in a 900-degree oven. The result? A lightly charred, chewy crust and toppings that are bright, fresh, and flavorful.

Their menu features classics like the Margherita, but it’s their signature combinations—think house-made sausage, seasonal vegetables, truffle oil, and inventive sauces—that keep guests coming back for more. With a fun, casual atmosphere and a strong commitment to using local ingredients, Local Pie delivers a unique pizza experience that’s both upscale and approachable.

Fat Baby’s Pizza & Subs

If you're looking for a lively, laid-back pizza joint with big portions and bold flavors, Fat Baby’s is the place to be. Loved by locals, this cheerful spot serves generously sized pizzas loaded with toppings, plus hearty subs, salads, and appetizers that make it great for families and groups.

Their specialty pies—like the “Fat Baby” topped with pepperoni, sausage, mushrooms, onions, and olives—are packed with flavor and perfect for those who want a little bit of everything. It’s the kind of place where you can come straight from the pool or beach, grab a casual bite, and leave completely satisfied.

Giuseppi’s Is Our Classic Pick… But Don't Miss These Hidden Gems

In addition to the heavy hitters, Hilton Head has a handful of lesser-known pizza spots that locals quietly love:

  • Dough Boys Pizza – Known for big slices, quick service, and fun specialty pies.
  • Tio’s Latin American Kitchen (Pizza Nights) – Not always advertised, but their fusion pies are worth a try when available.
  • New York City Pizza – A dependable favorite for those who love a classic NY-style foldable slice.

Your Pizza Adventure Awaits

From wood-fired masterpieces to classic cheesy comfort food, Hilton Head has a pizza spot for every mood, craving, and family member. Whether you’re grabbing a quick slice on the way to the beach or planning a cozy night in at your Host & Home vacation rental, these local favorites are guaranteed to hit the spot.

Browse our available rentals and book your Hilton Head stay directly with Host & Home today—your perfect Lowcountry getaway (and your next great slice!) is waiting.