The Tuscan Italian Grill Menu (2025 Update)

Welcome to The Tuscan Italian Grill, an enchanting culinary retreat nestled in Altavista, VA. Here, you'll find a delightful menu that pays homage to traditional Italian cooking while embracing unique local flavors.

Among the standout dishes, the Shrimp & Clam Palermo dazzles with spicy shrimp and succulent clams, elegantly sautéed in zesty herb marinara atop fettuccini, all for just $20.86. For a comforting classic, the Chicken Cacciatore, with its savory rosemary tomato sauce and tender chicken, promises to warm your heart at $19.70.

Every bite showcases homemade pasta and sumptuous sauces, ensuring a memorable dining experience. With attentive service and a clean, welcoming atmosphere, it’s no wonder customers rave about their meals. From generous portions to a family-friendly vibe, The Tuscan Italian Grill is set to become your next favorite dining spot. Indulge in the flavors of Italy right here in your neighborhood!

Fresh Chopped Salads

Caesar Salad

Romaine lettuce, parmesan cheese, croutons & Caesar dressing add mozzarella cheese for an additional charge.

US$5.78

Grilled Shrimp Salad

Garden or Caesar.

US$13.99

Spinach Salad

Spinach leaves, sliced mushrooms, cranberries & asiago cheese, croutons, served with balsamic vinaigrette. Substitute for other salads for an additional charge.

US$6.71

Tuscan Salad

Garden salad topped with pepperoni, ham, salami.

US$12.74

Blackened Salmon Salad

Garden or Caesar.

US$13.99

Chicken Bacon Salad

Garden or Caesar, topped with shredded chicken & crispy bacon.

US$13.90

Tuna Salad

Garden salad topped with minced tuna mix.

US$11.58

Mediterranean Salad

Garden salad topped with lamb gyro meat, feta cheese & banana peppers.

US$13.90

Garden Salad

Crisp romaine, juicy tomato, and cool cucumber topped with crunchy croutons. Customize with onions and olives. Add velvety mozzarella. Choose from a variety of flavorful dressings to enhance your salad.

US$5.78

Greek Salad

Garden salad, topped with feta cheese & banana peppers.

US$11.58

Chef Salad

Garden salad topped with sliced turkey, ham & chopped boiled eggs.

US$12.74

Chicken, Garden Or Caesar Salad

Grilled, blackened, crispy, fiery hot.

US$13.44

Bacon & Cheese Fries

US$8.10

Cheese Louise Bread Sticks

Fresh made dough layered with garlic butter, herbs & three cheese blend, served with dipping marinara sauce.

US$8.10

Feta Fingers

Fresh spinach, artichokes, feta & mozzarella cheese folded in thin flat bread, crisped to perfection & brushed with garlic butter & parmesan.

US$8.10

Tuscan Pinwheels

Diced pepperoni, crispy bacon, green onion, mozzarella & pepper jack cheese rolled in thin flat bread pinwheels, served with fresh pizza sauce, sour cream & jalapenos.

US$8.10

Douby Bread

Our world-famous knotted bread rolls brushed with succulent garlic-herb butter, served with tomato sauce.

US$8.10

Chicken Wings

10 hot or BBQ.

US$17.38

Mozzarella Sticks

US$8.10

Clam Strips

US$8.10

Crabmeat Stuffed Portabella

Topped with mozzarella, baked & finished with a balsamic glaze.

US$10.42

Chicken Tenders & Fries (5)

Plain, hot or BBQ.

US$12.75

Fried Pickles

US$8.10

Onion Petals

Served with our homemade sweet & spicy sauce.

US$8.10

Fried Mushrooms

US$8.10

Antipasti

Tuscan Specialty Pizzas

Hawaiian Pizza

Satisfy your cravings with this Hawaiian creation. Mozzarella cheese perfectly balances the sweetness of pineapple and savory ham. Available in sizes perfect for sharing or enjoying solo.

US$15.04

Meat Lover's Pizza

Hearty pizza loaded with pepperoni, sausage, beef, ham, bacon, and extra cheese. Available in small, medium, large, or gluten-free 10". Savory, flavorful, and satisfying.

US$17.38

Deluxe Pizza

Satisfy your pizza craving with a Deluxe Pizza loaded with pepperoni, sausage, beef, onions, green peppers, mushrooms, & extra cheese. Available in small, medium, large, or gluten-free sizes.

US$17.38

Taco Pizza

Savor a hearty Taco Pizza with seasoned ground beef, fresh tomato, red onion, and shredded lettuce. Available in Small, Medium, Large, or Gluten-Free sizes.

US$17.38

Buffalo Chicken Pizza

Spicy buffalo sauce paired with cajun chicken and melted mozzarella on a crispy crust. Choose from small, medium, large, or gluten-free to share with friends or enjoy solo.

US$17.38

Chicken Bacon Ranch

Succulent diced chicken & bacon on velvety ranch sauce, topped with tomato & red onion. Available in Small (4 pcs), Medium (8 pcs), Large (12 pcs), or Gluten Free.

US$17.38

White Pizza

Creamy ricotta cheese sauce blended with mozzarella and herbs. Choose from small (4 pcs), medium (8 pcs), large (12 pcs), or gluten-free size options. Flavorful and aromatic.

US$15.04

Vegetarian Pizza

Satisfy your cravings with a veggie-loaded pizza topped with onions, green peppers, mushrooms, black olives, broccoli, and extra cheese. Available in small, medium, large, or gluten-free sizes.

US$17.38

BBQ Chicken Pizza

Juicy grilled chicken, tangy BBQ sauce, fragrant onions, and melty mozzarella on a crispy crust. Available in sizes: Small (4 pcs), Medium (8 pcs), Large (12 pcs), or Gluten Free.

US$17.38

Greek Pizza

Choose your size of Greek Pizza topped with feta, mozzarella, fresh tomatoes, and spinach. Options include Small 10" (4 Pcs), Medium 14" (8 Pcs), Large 16" (12 Pcs), or Gluten Free 10".

US$17.38

Philly Steak Supreme

Juicy grilled steak with onions, peppers & mushrooms. Size options: Small (10"), Medium (14"), Large (16"), Gluten Free (10").

US$17.38

Philly Steak & Cheese Sub

Hearty steak sub with Original prep options including lettuce and tomato, or Deluxe prep with onion, pepper, mushrooms, lettuce, and tomato. Add extra cheese or double steak for more flavor.

US$12.74

Philly Chicken & Cheese Sub

Original option with lettuce and tomato, or Deluxe with onion, pepper, and mushrooms. Add extra cheese or double chicken. Sides include fries, chips, loaded bacon & cheese fries, soup, and various salad options.

US$12.74

Turkey & Cheese

Lettuce, tomato.

US$11.58

Veggie Sub

Grilled veggies, lettuce & tomato. Add extra cheese. Choose from fries, chips, loaded bacon & cheese fries, soup, or a side salad with various dressing options.

US$11.58

Fried Flounder Sandwich

Crispy flounder sandwich with lettuce, tomato. Optional loaded bacon & cheese fries or a side salad with various dressing options. Add extra cheese for extra indulgence.

US$11.58

Italian Hoagie

Ham, pepperoni, provolone cheese, lettuce, tomato.

US$11.58

Eggplant Parmigiana Sub

Melty cheese tops crispy breaded eggplant on a soft sub roll. Served with a side of your choice. Add extra cheese for ultimate indulgence.

US$12.74

Ham & Cheese

Lettuce, tomato.

US$11.58

Chicken Filet Sandwich

Hearty chicken sandwich with lettuce and tomato. Customize with extra cheese or double chicken. Served with choice of side. Add a side of loaded bacon & cheese fries for ultimate satisfaction.

US$11.58

Grilled Chicken Sandwich

With lettuce, tomato on a kaiser roll.

US$11.58

Chicken Parmigiana Sub

Hearty chicken sub with crispy chicken, marinara, melty cheese, and soft bread. Served with your choice of side: fries, chips, loaded bacon & cheese fries, or a variety of salads.

US$12.74

Tuna Sub

Lettuce, tomato.

US$11.58

Shrimp Po'Boy Sub

Crispy fried shrimp on a hoagie roll with lettuce, tomato, and Buffalo sauce. Add extra cheese. Sides include fries, chips, loaded bacon & cheese fries, or a variety of salads.

US$13.90

Pizza Sub

Hearty open-faced Italian bread with flavorful pizza sauce, pepperoni, and gooey mozzarella. Baked to perfection in the oven. Add extra cheese for an even cheesier experience. Choice of sides available.

US$12.74

Meatball Parmigiana Sub

Satisfying meatball sub topped with marinara and melted cheese. Upgrade with extra cheese. Served with a choice of fries, chips, loaded bacon & cheese fries, or side salad with various dressings.

US$12.74

Subs & Sandwiches

Kids' Corner

14 Lb. Cheeseburger With Fries

US$8.10

Cheese Ravioli

US$8.10

Spaghetti With Tomato Or Meat Sauce

US$8.10

Popcorn Shrimp With Fries

US$8.10

Pizza Slice With Fries

US$8.10

Fettuccini Alfredo (Plain)

US$8.10

2 Chicken Tenders With Fries

US$8.10

Grilled Cheese With Fries

US$8.10

Steak Stromboli

Stuffed with a savory blend of steak and choice of toppings, our Stromboli is a flavorful delight. Add extras like mushrooms or jalapenos for a customized experience.

US$13.90

Stromboli

Savor a flavorful blend of pepperoni, sausage, mushrooms, and gooey mozzarella in a delightful Stromboli. Customize with various toppings like bacon, green peppers, jalapeno peppers, and more.

US$13.90

Veggie Stromboli

Loaded with a medley of veggies - onions, peppers, mushrooms, broccoli, and black olives. Customize with additional toppings like pepperoni, sausage, and more for extra flavor.

US$15.06

Deluxe Stromboli

Loaded with pepperoni, sausage, beef, onions, peppers, mushrooms, and melty mozzarella. Customize with a variety of toppings like bacon, jalapenos, or pineapple for a personalized deluxe experience.

US$15.06

Chicken & Broccoli Roll

US$13.90

Calzone

Ham, ricotta & mozzarella cheese.

US$13.90

BBQ Chicken Roll

US$13.90

Meat Lover Stromboli

Loaded with pepperoni, beef, sausage, ham, bacon, and gooey mozzarella. Customize with a variety of toppings like jalapenos, mushrooms, and pineapple for a personalized stromboli experience.

US$15.06

Pepperoni Roll

US$13.90

Chicken & Bacon Stromboli

Stuffed with a variety of meats, veggies, and cheese. Juicy chicken and savory bacon wrapped in a golden crust. Customize with pepperoni, sausage, beef, ham, salami, and more.

US$13.90

Stromboli - Calzone - Rolls

Half Pound Flame Broiled Burgers

Spicy Southwestern Burger

Spicy 1/2 lb charbroiled burger with jalapenos, pepper jack cheese, lettuce, tomato. Choose from fries, chips, cup-o-soup, or a variety of side salads and potato dishes.

US$13.90

Disguised Tuscan Monster

Juicy 1/2 lb charbroiled burger with grilled onions, mushrooms, melty white American cheese, pickles. Side options: fries, chips, salads with various dressings, bacon & cheese fries, garlic roasted potatoes, onion petals.

US$13.90

Tuscan Monster Burger

Charbroiled burger with lettuce, tomato, onion, pickles. Optional cheese. Choose from a variety of sides: Fries, Chips, Salad with various dressings, Bacon & Cheese Fries, Garlic Roasted Potatoes, Onion Petals.

US$13.90

Texas Style Burger

Savor a 1/2 lb. stacked burger with crispy onion pedals, tangy cattleman BBQ sauce, yellow American cheese, lettuce, tomato, pickles. Pair with fries, chips, cup-o-soup, or a variety of side salads.

US$13.90

Crab Cake Burger

Grilled Maryland-style crab cake topped with lettuce, tomato and homemade sweet-n-spicy on the side. Choose from a variety of sides like Bacon & Cheese Fries or Garlic Roasted Potatoes.

US$17.38

Create Your Own Master Piece (Small Cheese (10"))

Additional topping for an extra charge.

US$11.58

Create Your Own Master Piece (Large Cheese (16"))

Additional topping for an extra charge.

US$16.22

Create Your Own Master Piece (Gluten Free Cheese (10"))

Additional topping for an extra charge.

US$11.99

Create Your Own Master Piece (Medium Cheese (14"))

Additional topping for an extra charge.

US$13.90

Create Your Own Master Piece

Wraps - Gyros - Quesadilla

Quesadilla (Steak Or Chicken)

Savory grilled onions, mushrooms, and green peppers topped with pepper jack cheese. Choose from Juicy steak or tender chicken. A flavorful, satisfying option for a hearty meal.

US$13.90

Buffalo Chicken

Spicy buffalo sauce paired with crispy chicken tenders, nestled on a bed of romaine lettuce and juicy tomatoes.

US$12.74

Chicken Bacon & Ranch Wrap

Savory grilled chicken and crispy bacon wrapped with fresh lettuce, juicy tomatoes, and creamy ranch dressing. Flavorful and satisfying handheld delight.

US$12.74

The Club Wrap

Tender turkey paired with crispy bacon, and fresh lettuce and tomato wrapped in a soft tortilla. Crave-worthy and satisfying with every bite.

US$12.74

Philly Wrap (Steak Or Chicken)

Grilled onions, mushrooms, and green peppers topped with white American cheese wrapped in a warm tortilla. Choose from tender steak or juicy chicken. Add extra steak for more protein.

US$12.74

Gyro (Lamb Or Chicken)

Savory lamb or chicken gyro with lettuce, tomato, onion, and tzatziki cucumber sauce. Flavorful, juicy, and satisfying.

US$13.90

Chicken Caesar

Grilled chicken slices on a bed of romaine lettuce, topped with parmesan and asiago, drizzled with Caesar dressing. Juicy chicken, crisp lettuce, tangy dressing.

US$12.74

Quesadilla (Shrimp)

Savory grilled shrimp with onions, mushrooms, and green peppers, topped with melted pepper jack cheese. Flavorful, juicy shrimp combined with smoky veggies and gooey cheese.

US$16.22

Portobello Steak Alfredo

Fettuccini pasta & portobello mushrooms in a smoked cream sauce, served with an 8 oz top sirloin steak.

US$30.14

8 Oz Hamburger Steak

Satisfy your hunger with this 8 oz hamburger steak, topped with grilled onion & gravy. Choose from a variety of sides and add protein with grilled shrimp, fried shrimp, or a crab cake.

US$17.38

Surf-N-Turf

Hearty 8 oz top sirloin with your choice of grilled or fried shrimp or a crab cake. Pair it with garlic roasted potatoes, loaded fries, or a side salad with your favorite dressing.

US$31.30

Steak-N-Shrimp Sizzler

Succulent sirloin tips with juicy shrimp, onions, peppers, portobello mushrooms, & tomatoes. Smothered in pepper jack cheese. Customize with your choice of side and protein addition.

US$31.30

Sirloin Tips

Tender sirloin tips, grilled with onion & mushrooms, smothered in savory gravy. Customize with options like garlic roasted potatoes or loaded fries. Add a protein like grilled shrimp for extra flavor.

US$20.86

Italian Pot Roast

Slow-cooked with onion, baby carrots, and savory seasonings, served over creamy mashed potatoes.

US$18.54

12 Oz Ribeye Steak

Juicy 12 oz ribeye steak, prime hand-cut, cooked to your liking. Choose rare for a cool red center, or medium well for a warm brown center. Options for side items available.

US$30.14

8 Oz. Top Sirloin Steak

8 oz. top sirloin steak cooked to your liking. Pair with garlic roasted potatoes, Steam Broccoli, or loaded fries. Add grilled shrimp for a surf and turf experience.

US$23.18

Steak

Soups

Soup Of The Day

US$4.99

Homemade Lasagna

US$17.38

Meat Lovers Lasagna

Layered with beef, sausage crumbles, ham, topped with mozzarella, pepperoni & bacon.

US$19.70

Spaghetti With Tomato Sauce

Vegetarian Friendly.

US$13.90

Spaghetti With Meatballs (2)

US$18.54

Fettuccini Carbonara

Bacon, ham, onion, garlic in creamy alfredo sauce.

US$18.54

Baked Ziti

Vegetarian Friendly.

US$15.06

Fettuccini Alfredo

Vegetarian Friendly.

US$15.06

Spaghetti With Meat Sauce

US$16.22

Tortellini Crema Rosa

Vegetarian Friendly. Tri-colored tortellini pasta stuffed with asiago cheese tossed in a pink cream sauce topped with mozzarella, asiago & parmesan.

US$16.22

Baked Spaghetti

Meat sauce & mozzarella.

US$16.22

Baked Manicotti

Vegetarian Friendly.

US$15.06

Eggplant Parmigiana

Vegetarian friendly. Topped with tomato sauce & mozzarella cheese, served with spaghetti.

US$17.38

Tuscan Pasta Sampler

A sampler platter of lasagna, chicken parmigiana & fettuccini alfredo.

US$20.86

Tortellini Toscana

Vegetarian Friendly. Tri-colored tortellini pasta stuffed with asiago cheese, tossed with portobello mushrooms, sun-dried tomatoes & green onions in a sherry wine & creamy reduction.

US$17.38

Baked Ravioli Fromaggio

Vegetarian Friendly. Cheese-stuffed ravioli topped with tomato sauce & a three-cheese blend.

US$16.22

Baked Spinach Stuffed Shells

Vegetarian Friendly.

US$15.06

Pastabilities

Chicken

Pollo Di Milano

Crispy bacon, melty mozzarella over spinach fettuccini alfredo. Grilled chicken tenderloins.

US$19.70

Chicken Marsala

Garlic-infused marsala wine sauce with sauteed chicken and mushrooms over spaghetti. Rich, savory, comforting.

US$19.70

Grilled Chicken Platter

Choose marinated or blackened grilled chicken, served with your choice of side. Tender and flavorful chicken with a juicy inside and perfectly charred outside, paired with your favorite accompaniment.

US$16.22

Chicken Al Rosmarino

Tender chicken breast, portabella mushrooms simmered in a light rosemary & marsala reduction, served with your choice of side item.

US$19.70

Penne Alla Vodka With Chicken

Blackened chicken served over penne pasta in a spicy pink cream sauce. Tantalizing and flavorful.

US$18.54

Blackened Chicken Pasta

Fire-roasted sweet red peppers and spinach with smoked cheese sauce topped with blackened chicken breast on penne pasta. Hearty, flavorful, smoky, and satisfying.

US$19.70

Chicken Parmigiana

Crispy breaded chicken breast topped with savory tomato sauce and melted mozzarella cheese. Served with a side of spaghetti. Classic and satisfying.

US$18.54

Chicken & Broccoli Alfredo

Creamy alfredo sauce coats tender diced chicken and crisp broccoli over fettuccini. Enjoy the velvety texture and rich flavors in every bite of this classic pasta dish.

US$19.70

Chicken Cacciatore

Zesty rosemary tomato sauce paired with sauteed chicken breast, onions, peppers, and mushroom served over spaghetti. Flavorful, savory, and hearty.

US$19.70

Chicken Carbonara

Smoky ham and bacon combined with sauteed chicken cubes and red onion, coated in creamy alfredo sauce and fettuccini pasta.

US$19.70

Side Of Meatballs (2)

US$4.99

Mashed Potatoes With Gravy

US$4.49

Loaded Potato

Bacon & cheese or broccoli & cheese.

US$4.99

Grilled Shrimp

US$6.99

Crab Cake

US$6.99

Our Signature Alfredo Sauce

US$4.99

Broccoli & Cheese Casserole

US$3.99

Roasted Vegetables Or Broccoli

Zucchini, broccoli & roasted red peppers.

US$4.99

Extra Mozzarella

US$1.99

Baked Potato

US$3.49

Side Of Marinara Sauce

US$1.49

Extra Feta

US$1.99

Garlic Roasted Potatoes

US$3.99

French Fries

US$3.99

Grilled Chicken

US$4.99

Side Items & Extras

Fish - Seafood

Shrimp & Clam Palermo

Spicy shrimp & chopped clams sauteed in olive oil with garlic & red pepper flakes, in zesty herb marinara, served over fettuccini.

US$20.86

Catfish

Crispy fried catfish fillets coated in a seasoned cornmeal crust and served with a side of tangy remoulade sauce for dipping. Flavorful and satisfying.

US$17.38

Seafood Festiva

Sauteed shrimp, clams, mushrooms & garlic, tossed with fettuccini pasta in a dill pink cream sauce, garnished with fresh diced tomatoes & asiago cheese.

US$20.86

Shrimp & Broccoli Alfredo

Creamy alfredo sauce with succulent shrimp and fresh broccoli served over fettuccini.

US$19.70

Lobster Stuffed Ravioli With Grilled Shrimp

Plump raviolis filled with flavorful lobster meat, topped with creamy sauce, and accompanied by grilled shrimp. Rich, velvety, and decadent.

US$23.18

Sicilian Blackened Salmon

Crisp and tender salmon filet with bold blackened spices, served on a bed of fried potatoes and onions, topped with tangy roasted red peppers. Accompanied by a sweet-n-spicy dipping sauce.

US$23.18

Baby Shrimp Basket

With a side item.

US$15.06

Cajun Shrimp Alfredo

Succulent cajun shrimp over fettuccine, with optional flavorful blackened salmon addition for a charge.

US$19.70

Balsamic Glazed Salmon

Tangy-sweet glazed salmon filet grilled to perfection, served over crispy onion straws. Choose from a variety of side including garlic roasted potatoes or loaded fries with bacon and cheese.

US$23.18

Tilapia Your Way

Choose from Cajun lemon broiled or scampi sauce served with a side item.

US$19.70

Crab Meat Stuffed Flounder

Juicy flounder stuffed with crab meat. Topped with creamy lobster sauce. Served with shrimp and sweet roasted red pepper alfredo pasta. A flavorful seafood dish with decadent sauce.

US$23.18

Fried Seafood Mix

Flounder or tilapia with baby shrimp & clams strips served with a side.

US$22.02