It was a hot day in Vegas and the first thing I asked for was a glass of water. "No tap water, you need to buy a bottle. House rules." They gave me a glass of ice and allowed me to wait for it to melt. We got an eggplant parmesan appetizer that was drenched in far too much salty balsamic vinegar. The "fresh" buffalo mozzarella cheese was the toughest, most rubbery mozz I've ever had. Fell way below expectations for a $25 appetizer. Finally, the atmophere was bizarre with old-school Italian dark woods and black and white photos of various actors, but the room is flooded with wacky pink and blue neon lights. With so many other dining options in Vegas, don't waste your time and money on this place.

I went to this restaurant as part of a work related dinner - about 15 people total. The music was so loud I could not talk to the person sitting beside me, let alone anyone else at the table. With the music blaring so loud, all you can do is look around the restaurant with a blank stare on your face.
Like everyone else said, the TV screens around the restaurant show random bloody gruesome scenes from different mafia style movies. Yuck. Not what I want to watch with dinner.
The food was okay, but nothing to warrant a repeat visit. $14 for a bottle of water? I dont think so.
Dont bother with this place if you want to actually have a nice dinner AND be able to hold a conversation without yelling.

I just dined there over the weekend with 9 other folks. The food was great and I liked that they served us family style and actually chose dishes for us. The service was good eventhough the waiter said he wouldn't give us too much food -- and then did. I also thought it wasn't too terribly expensive considering half our table had martinis and we went through at least a couple of bottles of wine. It was about $160 per couple with tip included. Anyway, the thing that stood out the most is how insanely loud the music was. It sounded more like a dance club than a restaurant. I could barely understand what the person across from me was saying, must less the person at the end of the table. My throat hurt the next morning from talking too loud. Don't go if you have lots of catching up to do with your companions.

Living right here in Las Vegas, my wife and I enjoy fine dining on a weekly basis. Steer clear from this place folks!! Your first clue----when asked to see the menu, we were told, rather rudely, (by 2 gum-chewing hostesses)that "We don't got menus, you eat whatever the chef has made today!" What attitude! Should have walked right then and there. But we had already walked about a mile to find this place (hidden WAY WAY WAY in the far back upper corner of the Rio....at least the Rio had the sense to try and hide the place to protect its customers) so we stayed. BIG MISTAKE! After being forced to buy an $8 bottle of water (they dont serve water any other way!!!!) we eagerly awaited our food. While we waited for dinner to arrive we were "treated" to television images of the chef, who is some sort of "celebrity" in his own mind, falling all over numerous real celebrities in several staged photos. C'mon--really, who IS this guy? Chef Matorano? Ever heard of him? I didnt think so. Anyhow, the food was OK, even though I had to practically BEG our waiter to make me some simple pasta in a cream sauce (it wasn't one of the few things being made that day.) But, they did me a HUGE FAVOR and made it for me! My wife had one of the chicken breast dishes. Then the bill came; its a good thing we were already sitting down. $120!!!!! Let me remind you, all that we had was an $8 bottle of water, a chicken breast and 6 raviolis in a cream sauce! And by the way, we couldn't have had any beer or alcohol (except overpriced wine) with our dinner even if we had chosen to do so...its NOT ALLOWED, because the chef doesn't want alcohol to distract from the intense flavor of his baked chicken breast or raviolis in cream sauce! People, if you want great Italian food, try Maggianos, where for $120 you can stuff FOUR to SIX people AND enjoy a cocktail with your meal. But if you inist on being treated rudely and overpaying for average food, well then by all means you will not want to miss this place. You had better get there soon though....judging by our experience and the rest of the revierws, Cafe Matorano should be closing up shop soon.