Cheese
Pepperoni
Supreme
Fettuccini Alfredo
Spaghetti & Meatballs
Chocolate Chip Cookie
Pecan Brownie
Garden Groove
Five-O
Pesto De Resistance
Say Hello To My Little Salami
The Buffather
Garlic Bread
Cheese Bread
House Made Ranch
Habenero Hot Sauce
Marinara
The moment you flip open the Down River Pizza Menu, you can tell this spot on 1013 Santa Cruz Ave in Presidio takes its pies seriously while still keeping things fun. The lineup leans into bold flavors, and it’s easy to drift from one tempting option to the next. You’ll find classic comfort picks sitting right beside more creative combinations, and somehow everything feels like it belongs together.
What makes browsing the menu even better is how naturally the choices flow - one minute you’re eyeing a crispy, cheese-loaded favorite, and the next you’re debating whether to try something topped with fresh local ingredients. And since the place keeps its portions hearty, it’s the kind of menu that makes you want to slow down and enjoy the whole experience.