Food?

Tripe, eels, and raw fish are actually very rare items in Italian restaurants’ menu. There might be some restaurants in Naples that serve raw seafood but not really common. Have you ever visited Italy or even just read anything about Italy and its cuisine before? I don’t know where you got those ideas. I’ve never seen eel at a restaurant in Italy in my life. And no, you will also find no spaghetti and meatballs in Italy. That is strictly an Italian American dish that is available only in the US. Salmon also is not really so frequent in Italy as it is generally imported from Norway. Salmon is not a Mediterranean fish. I suggest that you Google “typical dishes of (area name)” and see what comes up. Or you can go to Google Maps click on some restaurants in the cities where you are going and look at their menu which will come up. You can do the same on TripAdvisor or The Fork. You actually appear to be the typical unadventurous meat and potatoes midwesterner (I have had plenty of colleagues like you in the past from out Midwest offices) but don’t despair. All the places you mention have McDonald’s. Portovenere is the only exception but if you can eat (cooked) seafood and fish, there are plenty of restaurants in Portovenere that serve that. Fish and seafood of all types is their specialty.

"Italian cuisine" is a lot more than pizza and pasta. You have three months to research the cuisines of Liguria, Tuscany and Naples. Watch some Anthony Bourdain and Stanley Tucci.

Roberto’s advice is excellent. We have made several trips to Italy over the years and one of us falls into your category. You will be fine. As Roberto notes, our idea of Italian American food is quite different from the real thing in Italy. I was very happy to discover that Italian cuisine was dedicated to a few excellent ingredients well prepared. Mountains of cheese and quarts of sauce were non existent. Vegetable dishes and salads have always been available and likely will be ordered as separate dishes, i.e., not necessarily included in a meal order as we may be accustomed to in our restaurants here at home. We’ve enjoyed broiled or grilled fish, just maybe not salmon. I’d suggest you learn a few phrases describing the simpler foods you prefer. We have been treated with much patience and kindness and I suspect the servers will strive to ensure you enjoy your meal. And while sharing dishes isn’t as common as here, nor should you feel obligated that each diner order antipasti, entrees, sides, desserts. I think you’ll be pleasantly surprised. These have been our experiences over the years. Safe travels and Buon appetito!

I would agree with others, do some research, search for things like "Typical cuisine of XXX" whether it be Liguria, Tuscany, Naples, and Campania.

I would not rule out pasta entirely, you may not eat much, but you likely have been exposed to poor options. Trofie with Pesto in Liguria is way different than any pasta you have had. For seafood, do be prepared for more "small fish" like grilled anchovies, or whole grilled fish, but most places offer a fillet of larger fish, just maybe not Salmon. In Tuscany you will find heartier fare, grilled meats, chicken is more common, vegetables. I can't really think of any "weird" Italian dishes, except maybe calf's liver, the rare offering of horse, and if you are adverse to things like calamari, squid, and cuttlefish. Not sure if any Italians eat raw fish, maybe marinated anchovies or shellfish like oysters, scallops or clams.

When all else fails, there are plenty of other things to eat other than "Italian food".

Antipasti buffets are common with artichokes, olives, charcuterie, and assorted vegetable things. I have never seen raw fish on an Italian menu. Pasta is the primi menu but the secondi will be chicken, fish, beef, pork etc. Take a look at some menus for restaurants in places you are going to see what is available.

At our favorite florentine restaurant we started with an amazing vegetable soup, and then I had Roast pigeon. The second time the fabulous vegetable soup was done so I had a tortellini en Brodo which turned out to be really tasty and a roast pork. There were a couple of fish dishes on the menu.

Look at some menus. And FWIW. Pizza is not necessarily found at 'touristy' places. We were well out of the center in areas where most diners were locals and the pizza was fantastic. Italian style pizza which is thin crust and not as goopy as US pizza is often quite excellent. I love '4 seasons' which involves artichokes ,ham or prociutto, mushrooms and olives and often an egg.

You will likely see branzino as a fish option on many menus. Branzino is European sea bass. It's a mild white fish and not to be confused with Chilean sea bass. If you like salmon you'll probably like branzino.

Braciole. Branzino. Cavallo (be careful with this one; it's horsemeat, but it can be delicious.) Coniglio (rabbit). Focaccia. Shellfish of all sorts, and many different finfish you won't be familiar with but that will be delicious. Polpo (octopus). Lots of succulent foods that won't be exactly what you're accustomed to eating but that you'll love. Pizza is terrific everywhere.

I personally don't understand going to Italy and not enjoying the many delicious pastas on offer, but you won't go hungry regardless. Pasta in Italy is not like pasta in the US. It's so much better.

Pretending to be you, I went to Tripadvisor and Google Maps to see where I would eat in Portvenere --- that was the only specific town you mention.

Actually, I would have a harder time than you will because I really, really don't like any seafood. But I quickly found a place I would love to eat: Anciùa Ligurian Street Food.

Take a look: https://www.tripadvisor.com/Restaurant_Review-g194862-d6990575-Reviews-Anciua_Ligurian_Street_Food-Porto_Venere_Italian_Riviera_Liguria.html#/media/6990575/?albumid=-184&type=ALL_INCLUDING_RESTRICTED&category=-184

You can see the menu and much of it has English translations (which used to be a small warning sign of a tourist restaurant but now is often just fine). You can see photos of the food and the inside of the restaurant and read people's reviews. The way to use Tripadvisor or Google Maps is not to BELIEVE their ratings, but to USE the information and photos and menus to find the kind of place you want. I limited my search to lunch, local food, vegetarian-friendly, and a rating above 4 (ideally closer to 4.5). I'd love to be able to include "not at all fancy," but I can judge by the photos. Sometimes I can use "family friendly" to eliminate the fancier restaurants.

You will see foods on the menu that you have never heard of --- this does not mean they will be tripe or eels or horse meat. For instance, one of my favorite things to eat in Liguria is "Torta Salata" --- you might think it was salty cake, but instead it's a delicious thin tart or savory pie, often made with finely chopped vegetables.

So, try this for every town you are staying in --- we normally pick out where we are likely to want to eat long before we travel to anywhere in Italy. I think this will relieve your worries.

Also, know that a server can tell you the ingredients in a particular dish --- I am not crazy about either mushrooms or truffles, so I ask.

If you like cheese, it is pretty normal for there to be a cheese platter on a restaurant's antipasti menu, but if all you see is a cheese and cured meats platter, you can ask for all cheese. I love it when the cheese slices come with fruit "jam" or honey --- not what American eat with cheese, but really, really yummy. I could go on and on about all the wonderful food in Italy. My guess is that you have never had excellent hand-made pasta where you live, since in 70 years I haven't either except when my husband rolls his own.

Hopefully you'll decide to broaden your horizons and try some of the various foods in Italy, as it's some of the best you'll find anywhere. I also tend to prefer fish or poultry, but try to be flexible when I'm travelling as for me that adds to the experience. One of my absolute favourite dishes in Liguria is Trofie al Pesto, and that's always my first meal when I arrive back in that area.

If you don’t eat Italy, then you will not have seen Italy.

I would not worry. The choices will be...incredible, and something for everyone. And I have a feeling that once you try pasta in Italy...you're going to want it all the time. It's that good.

We're Midwesterners like you, and will be knocking around Italy same time as you--first half of April--with two of our previous trips being even earlier, in late February. And still...the markets & ristorantes even that time of year find a way to obtain the best fruit & vegetables from the southern climes like Basilicata (strawberries!) & Sicily (blood oranges!). Insalata across the board will be tremendous. And the local specialties, such as artichokes in Rome, or their puntarelle (chicory) salad, are not to be missed. And in Tuscany...at least try the cinghiale (wild boar). It's like the best pot roast you've ever tasted...

But I will warn you...as I am warning myself...not to overstuff yourself, which is almost impossible to do over there. I'm finding that as I age, if I overeat at a restaurant, I'm uncomfortable for hours. Over our trips, we have learned by staying near an open air market, like Rome's Campo de' Fiori. I shop very early for fruit and maybe stop at a bakery for a little pastry to bring back. Lunch is a 'take-away' pizza slice or panini, then a nice, leisurely dinner around 8:00, stopping for gelato on the way back to the AirBnB. And even if scaling back--not 3 meals a day eating out--their food is tempting at every turn. Thus, I'm making a pact with myself not to let my 'eyes be bigger than my stomach', and split primo or secondi courses with my wife or cousins. And trust me, this is going to be easier said than done.

South of Naples we has wonderful seafood most everywhere. Grilled vegetables and salads are on most restaurant menus. The conditori course often includes spinach or chicory. Most pizza places are not tourist places. I’ve shared many a delicious Margarita pizza for under €10 for a quick easy dinner.

I don't think you'll find this a problem, but as a mostly vegetarian who is fairly food-obsessed, I find regional cookbooks a valuable part of my trip research. You have to understand seasonality to eat well (really anywhere IMO, but especially in Italy). Case in point: Greens are a cold weather crop--early spring should be marvelous for salads! Think of other spring veg and you can imagine how they will show up--a risotto with peas for example.
Share your locations for some more fun feedback.
Nowadays, we use our phones, but in the old days, we carried a "Marling Menu Master"--a wee pamphlet containing translations of common items.

As comedian Jeff Foxworthy would say:

"If you define Italian food as "weird" and go to Italy to eat only pizza, chicken breast, and salad, you may be...an unadventurous "meat and potato" folk"

Thanks for all the thoughtful, informative responses and great tips! Especially relieved to hear that spring greens will be in their glory!

We haven't eaten at McDonalds in well over half a century, and are by no means unadventurous in our many travels; we just haven't been to Italy yet and were feeling a little put off by some of the menu items we'd spotted in an admittedly cursory glance at RS's "Italy for Food Lovers" and some Florence restaurant menus. Should have made clear that we eat considerably healthier than the stereotypical Midwestern fare, and "unfamiliar" would definitely have been a better and more accurate term than "weird" when describing our [now, clearly unfounded] concerns about Italian cuisine.... that being said, some of the good advice would have gone down better without the unnecessary "pesto di condiscendenza"

Valadelphia: our other locales will be Siena, Pienza, and Agropoli [south of Salerno], if you [or others] would like to weigh in with specifics about food [or wine--- not too sweet, not too dry, not to pricey] in those places. Thanks in advance, if so.

I have stayed near Agropoli and if you happen to make it as far as Marina di Pisciotta, we had a wonderful meal at Angiolina. This is a fantastic area, especially for seafood fans of course, as anchovies are a specialty. I was checking the TA review page to make sure they are still around and I do see some potentially raw items, but these are not difficult to avoid--look for crudo on the menu.
The many buffalo mozzarella farms in the area make that something to look for. In Pisciotta, it had a delivery day and eating it at the sink with it dropping down our faces is a fave memory!
I did not think you came off as unreasonable at all, just feeling out what to expect. We have only come across something we did not want to eat once (it was raw shrimp, which I understand is common, but we're from the southeastern US and just could not--but we did chow down on some tiny baby shrimp that were probably raw this time around. We seek out this kind of thing though, and you pretty much have to work for it more than avoid it).

Honestly, I think you’re overthinking it.

You’ll find lots of options. You’ll find American menus. You’ll often find servers who speak impeccable English. And wine is cheap and very solid. Even splurge-y wines don’t carry the restaurant markup you’re accustomed to.

Food and culture are inexorably linked, so I do hope you try to expand out of your comfort zone and eat “local”. Some of my best culinary experiences have been when I did so. But either way, you’ll have a great trip and generally great food.

"pesto di condiscendenza"

That's a classic! Bravo.

I'm confident you'll find plenty of Italian dishes to your liking. Buon appetito!