Our experience at Otto's was mixed. They brought the breadsticks that are imported from Italy. We ask for bread, which came with no butter or oil. They brought oil after we ask. I has the braised pork shoulder and would give it a five. The apple reduction was out of this world. My wife had spaghetti with pepper and butter. It was just average. I ordered Lemoncello and it was terrible. I sent back and the waiter said the bar tender did not shake it up. The second glass was better, but still not good. I would not recommend. We share the three flavored of Gelato and we only found two favors and they were just OK, again I wouldn't reorder.
Our service was good. The prices were high, but for what I have seen of Las Vegas, they were about right.