Absolutely mediocre.
Normally, a restaurant like this wouldn't deserve such a poor rating as this is what I would expect from a cheap fast food restaurant for around 5 dollars. For around 20 a plate in a casino worth probably over 100 million, this level of quality is abhorrent.
The pasta seemed like a box of barilla I could have cooked from walmart, coated in a novice chefs sauce that was like watered down wine mixed with Kraft italian dressing. The lasagna was better, but only because the cheap meat and cheese covered the ragu sauce (as described on menu actually as RAGU). The salad was soggy and dressing poor. The highlight of the meal was the packaged balsamic vinegar served with the bread. Very poor food, made worse by the exorbitant prices.
The service was also extremely poor, we were only visited by the busboy who kept refilling our glasses. The waiter was mostly absent.
Atmosphere was nice, if a little cheesy, but a live concert which seemed to be going on in the casino was a bit distracting during a meal.
Could have got an equivalent meal at sbarros for significantly cheaper.
Don't make the mistake. This is a tourist trap and the only reason it survives is because of its location.