Normally, the prix fixe menu is the best deal in restaurants that offer it; you usually get more bang for your buck. At Grotto, though, the portions are so massive that you're probably better off ordering and entree and starter a la carte. One of the reasons for that is the incredibly high quality of the bread that comes before the meal. It's baked in house and is just about the best restaurant bread ever—chewey with a salted crust that just goes ideally with the olive oil. By the time you've finished that and a starter, the entree will be almost more than you can manage. Mind you, the quality is high all the way. I had a fettuccine bolognese (with pork and lamb) that was delicious; it was just so large that I would up taking half of it home. Couldn't even get half-way through the dessert, good as it was. If I hadn't decided to go prix fixe, I would have just skipped dessert and would have been better off. Service was generally good, although a bit disorganized; they asked us about dessert twice, even though we had already ordered it. The atmosphere is very cozy (it's a small basement room) and the location very out of the way. Prices are on the high end—dinner for two was $125 including drinks and tip—but I thought that was fair given the overall quality.