Of the Italian food options available at Disney Tutto Italia is the best I have tried. I've enjoyed Spoodles too, but Spoodles is more Mediterranean with much less pasta on the menu and not quite as good in my opinion. I find the food at Tutto Italia very good, not outstanding, but the price is just over the top.
I've eaten at many Disney table service restaurants and the prices at Tutto Italia just seemed higher than many of the others I've frequented at Disney. From a dining plan perspective it is a great value - it compares favorably with many of the 2 TS restaurants so it is certainly worth using one TS credit.
I won't go back to Tuto Italia because of the price but would certainly recommend the food.
I've been to a number of Italian restaurants in NYC that I consider outstanding. They have similar menus to Tuto Italia and are less expensive.