When we want really good Italian on Island we generally head to La Rosa Too at Maho - not in Simpson Bay but certainly not too far away either - or our alternate choice, definitely Sal and Pepe, though we’ve only eaten there a few times. We haven’t been since November but our food and service were both excellent that trip. We were not huge fans of Izi, which we thought was a bit too loud and too close although the food was not bad at all, and we’ve never made it to Isola. Sounds like we may have to next trip. I’ve also heard the Spaghetti House in Jordan Village at Cupecoy is very good and very reasonable.