01
Best overall pick
Shaddock's Pizza
North Side • Classic Hometown Pizzeria • Local Favorite For Dine-In And Carryout
Old-school Middletown pie shop turning out generous, cheese-heavy pizzas that keep regulars coming back.[7]
Shaddock's feels like the definition of a neighborhood pizza joint: straightforward pies, friendly staff, and plenty of locals on a first-name basis with the crew.[7] Expect classic toppings, a sturdy crust, and portions built for sharing with family or a hungry softball team. Call ahead on weekend evenings—this is one of the first places locals think of when a pizza craving hits.
02
Best for crispy thin crust
Cassano's Pizza King
Roosevelt Boulevard Corridor • Dayton-Style Thin-Crust Shop • Go-To For Edge-To-Edge Toppings
This Dayton-born chain serves up cracker-thin, square-cut pies with toppings spread all the way to the edge.[7]
If you like your pizza ultra-thin and crispy, Cassano's is the Middletown stop to know.[7] The crust has just enough bite to hold a serious layer of toppings, and the signature square-cut slices are easy to pass around the table. It’s a smart pick for game nights or parties when you want a few big pies that can feed a crowd without feeling too heavy.
03
Best downtown stop
The Slice
Downtown • By-The-Slice Counter Spot • Quick Downtown Stop
A casual downtown joint where you can swing in for a hot slice at the counter or split a whole pie with friends.[7]
The Slice is made for those days when you want pizza right now but don’t need a full sit-down meal.[7] Grab a slice and a drink, people-watch out the window, and you’re back on your way in a few minutes. It’s especially handy if you’re bouncing between errands or meeting up downtown and want something easy that still tastes like a proper local pie.
04
Best for families
LaRosa's Pizzeria Middletown
South Dixie Highway • Cincinnati-Style Family Pizzeria • Family-Friendly Favorite
Cincinnati’s LaRosa's brings its sweet-leaning sauce, big menu, and comfortable booths to Middletown’s South Dixie Highway strip.[1]
LaRosa's is the place where Middletown families meet up after games, birthdays, and school events, thanks to a familiar menu and roomy dining area.[1] Beyond their signature pizzas, there are hoagys, pasta, and kids’ options, so everyone at the table can find something they like. It’s an easy, dependable choice when you want a sit-down meal without overthinking it.
05
Best late-night option
Cousin Vinny's Pizza
Near Miami University Middletown • Late-Night Delivery Specialist • Late-Night Favorite
Cousin Vinny's leans into big value deals, late hours, and fast delivery that covers much of Middletown.[3][7]
With its focus on combos, specials, and staying open later than most, Cousin Vinny's is a staple for students, shift workers, and anyone craving pizza after typical dinnertime.[3][7] The pies are built to travel well, with sturdy crusts and plenty of toppings that still taste good when the box hits your doorstep. Keep their number handy for impromptu hangouts, study sessions, or those nights when cooking is off the table.