Hearth Pizzeria brings Neapolitan-style pizza to Needham with a wood-fired oven visible behind the counter where you can watch dough being stretched. Beyond the classic cheese and Margarita pizzas, the menu shows a commitment to whole and locally sourced ingredients—try the fig, prosciutto, and blue cheese pizza, or branch into the garden pizza loaded with broccoli, zucchini, and squash. The kitchen also turns out chicken parmesan, oven-baked mac and cheese, arancini balls, and flatbread sandwiches. The restaurant hosts live music on Sunday and Thursday evenings and runs a weekly trivia night on Wednesdays. They take reservations, offer online ordering, and handle catering for events.