Great good but very pricey. I have eaten here a few times all with same results. Good food, good wine, good service and huge bill at the end of the night.
If you are looking for a quick dinner I HIGHLY recommend sitting in the bar and getting the Carnavino Burger. Has to be the best burger on the planet. The beef cheek ravioli and octopus are both outstanding starters as well.
Word of caution and the reason I gave four stars and not five. The sommelier poured our wine and then poured himself a short glass to drink. This was not a taste before he poured ours it was a few good drinks worth that he took as a "roady". I likely would not have cared if he asked first but it's a little annoying since it was a $250 bottle of wine and he did it as it was a course of regular business.
Overall good place for a burger or steak if you are held captive at the Palazzo or Venetian at a conference.