01
Best downtown slice
Courthouse Pizzeria
Historic Medina Square • Brick-Oven Downtown Pizzeria • Local Favorite By The Square
A go-to spot on the square for thin, foldable pies after a day around the courthouse.
Right off the brick-lined square, Courthouse Pizzeria is the classic Medina choice when you want a straightforward, well-made pie. The crust leans thin with a good chew, and toppings run from simple pepperoni to white pies and veggie-heavy combos. It’s an easy walk-in option before or after browsing the shops around the square.
02
Best overall pick
Dominic's Pizzeria & Italian Restaurant
South Court Street Corridor • Old-School Italian Pizzeria • Best For Families
A long-running Medina standby pairing hearty pizzas with classic Italian comfort dishes.
Dominic’s has the feel of a neighborhood spot where staff remembers regulars and pizzas land at the table hot and generously topped. The dough is soft with a slightly thicker crust, making it great for loading up on cheese, sausage, and veggies. With a full menu of pastas and subs plus roomy booths, it works just as well for a low-key family dinner as it does for a big takeout order.
03
Best dine-in experience
Santo Suossos Pizza Pasta Vino
North Court Street / Route 42 • Sit-Down Italian Restaurant With Pizza • Best For Date Night
A cozy Italian spot where the pizza shares the spotlight with pasta, wine, and a more relaxed dining room.
Santo Suossos is where locals go when they want pizza but also a proper night out. Pies come with a more refined touch—well-seasoned sauce, crisp but tender crust, and thoughtfully layered toppings—alongside house pastas and a solid wine list. It’s an easy pick when you want something nicer than a quick slice without losing that comfort-food feel.
04
Best pan-style twist
Ohio Valley Pizza Co.
Just Off The Medina Square • Craft Pan-Pizza Shop • Best For Creative Toppings
Specializes in hearty, square-cut pies with a regional twist and a serious focus on toppings.
Ohio Valley Pizza Co. leans into a thicker, pan-style crust that’s airy inside with crispy edges, ideal for piling on cheese and bold toppings. The menu often highlights regional and creative combos, so it’s a strong choice if you like your pizza a little different without going over the top. It suits takeout especially well, since the sturdy crust travels better than most thin pies.
05
Best New York-style option
Marcello's New York Style Pizza
Medina Road / Route 18 • New York-Style Slice Shop • Best For Big Slices
A Route 18 mainstay serving large, foldable New York-style slices and classic pies.
Marcello’s sits out on Medina Road and caters to anyone craving that classic New York-style fold. The crust is thin with a crisp bottom and just enough chew, and the slices are big enough to satisfy with a couple of pieces. It’s a practical stop for grab-and-go lunches, quick dinners between errands, or a no-fuss pie on your way back to the highway.