+1 206-723-2192
Located in the vibrant heart of Columbia City, La Medusa is a cherished Southern Italian restaurant that beautifully embodies the warmth and flavor of Sicilian home cooking. From the moment you step inside, the cozy and inviting atmosphere welcomes you like a cherished family gathering, where every dish tells a story of tradition and passion.
La Medusa prides itself on a thoughtfully curated menu that elevates classic Southern Italian dishes with fresh, seasonal ingredients and authentic recipes. Among the highlights, the Arancini — golden saffron risotto croquettes with a perfectly crisp exterior — are a must-try starter that sets an impeccable tone for the meal. The kitchen also delights with the soulful Grandma’s Greens, pan-braised kale simmered in a fragrant garlic and anchovy broth, offering a luscious depth of flavor that’s both rustic and refined.
Pasta lovers will find themselves enchanted by the Spaghetti with Meatballs, a comforting dish that balances rich sauces and tender, handmade meatballs, as well as the creative Carafelli with Pork & Beef Ragu, which delivers a robust, hearty bite that’s perfectly complemented by subtle notes of saffron. For those seeking something more adventurous, the Fund Saffron & Sardines showcases the authentic Sicilian approach to bold, coastal flavors.
Seafood is elevated to an art form at La Medusa, where the Branzino Prepared Tableside offers an interactive and elegant dining experience, the freshness and delicate texture of the fish enhanced with simple, thoughtful accompaniments. The menu’s vegetable dishes are equally captivating — like the Roasted Carrots with Yogurt and Chili Oil and the Simple Chicory Salad with preserved lemon and soft-cooked egg — each bite bursting with harmony and balance.
End your meal with one of La Medusa’s exquisite desserts, such as the rich and airy Flourless Chocolate Espresso Torte or the creamy Bay Leaf Panna Cotta with Lemon Marmalade. These sweets are the perfect final flourish, echoing the deep, soulful roots of Sicilian cuisine with every forkful.
Patrons consistently praise La Medusa for its welcoming ambiance and attentive service that feels as genuine as a home-cooked meal shared with close family. Reviewers highlight the restaurant’s exceptional staff and the seamless pacing of dishes that allow diners to savor each flavor without ever feeling rushed. Despite being a small venue, the intimate setting enhances rather than limits the experience, making every visit feel special.
Whether you’re returning for another unforgettable meal or discovering La Medusa for the first time, expect a culinary journey filled with comforting flavors, artisanal quality, and heartfelt hospitality. This is more than just a restaurant — it’s a beloved neighborhood gem that captures the true spirit of Southern Italy right in Seattle.
La Medusa
4857 Rainier Ave S, Seattle, WA 98118
Phone: +1 206-723-2192
EDITED REVIEW: initial post is below. I went for the second time after many months, and did not have the same experience that I did over the summer. The people themselves were incredibly nice as always, but the quality of food just felt different. The appetizers of arancino, grandma’s greens, and the olives were all pretty good. However, they brought them out individually one by one and each at least 10 to 15 minutes apart. Given that our reservation was on the later side and app portions are small , we were pretty hungry for the first hour due to the pace of the meal. After the appetizers, it took quite a bit for the main course to come out. We ordered three pastas, the malfadine, the spaghetti, and the Campanelle. They were pretty good, but not nearly the quality that they were when I came here over the summer. They also did not come out until almost 9 PM (our reservation was 730 )The sauces did not feel like they had as much depth as before, although still yummy. I hope that this is a one off experience, because I really liked it the first time. But for the price and distance to get there from the city, I will put more thought into my decision next time. ORIGINAL REVIEW: This is one of new favorite restaurants in seattle! I have tried several Italian spots in the city and this is certainly one of my top five! (Other notable spots I love are Il Nido, Spinasse, Machiavelli, tavolata ) First off, the service was incredible. Our waitress was so sweet and knowledgeable of the menu. We got grandmas greens, the croquette, bread, and mafaldine pasta with braised beef shank. Everything was stellar!! Particularly the croquette. They have a rotating menu and all the other dishes I saw also looked good. I need to come back and try everything! The ambience is quaint and definitely has a local feel. I loved it. I felt like I was in Italy. There are no bells and whistles, just good food, good service, and warm energy. A true neighborhood gem.
My apologies for only snapping pics of dessert, everything was phenomenal! Perfect place to eat family style so you can try a bite of everything. The food is so fresh and thoughtfully prepared with exquisite flavor combinations. You won’t find better service anywhere else in the city. It truly has that family feel like having dinner at your favorite Nonna‘s house if you have one of those.
A wonderful neighborhood dining spot that really captures the Sicilian essence when it comes to gathering over delicious and uncomplicated cuisine. Service was knowledgeable and friendly, food was served at the appropriate temperature and pacing with the meal - we never felt rushed and enjoyed the comfortable atmosphere. Only snagged a pic of the Arancini since we could wait for a photo to dig in to the next dish! Definitely making this a go-to spot for date night and taking friends out.
I’ve had many return trips to La Medusa and there will be many more. The rotating menu has seasonal flavors for all tastes including vegetarian and pescatarian options. The service is always exceptional and the atmosphere is warm and homey. A fantastic choice for Italian food in Columbia City!
One of the best places for the real made in house Italian style pasta restaurants in Seattle. Service is usually extremely friendly and great. Food is great. It’s a small place. Make sure you call them first for the reservation
⭐⭐⭐⭐⭐ La Medusa is pure Sicilian soul in Columbia City—and I’ve gone back more than five times because it never misses. The squid ink pasta is a masterpiece: briny, silky black strands layered with fresh herbs and ocean depth. The grilled sardines appetizer is delicate, citrus-kissed, and simply unforgettable. Add the salt cod fritters—crispy, golden, and rich—and you’ve got a lineup that’s world-class. Yes, the tables are close—but that’s part of the charm. Look around and you’ll see nothing but good vibes, smiles, and laughter echoing through the room. The wine list is stunning, and the staff serve with pride, warmth, and guidance that makes you feel like family. Columbia City is full of energy, but this spot is its heart. Take the 7 on Rainier, step into La Medusa, and you’ll see why locals and visitors call it the best Sicilian food in Washington. This isn’t just dinner—it’s a memory worth repeating.