Real Italian Gusto, run by Francesca and Matteo Ronzio from Italy, brings Neapolitan pizza and handmade pasta to Medford's High Street. The kitchen makes fresh dough daily using Italian flour and tops pizzas with the freshest ingredients available, while homemade pasta is prepared every day on a Monferrina Pasta Machine. The restaurant sources both local ingredients and Italian imports, aiming to recreate an authentic Italian dining experience. They accommodate private events with family-style, buffet, and tasting menu options, and free parking is available after 6pm in the nearby lot on Governors Avenue.