Using a five-day fermented dough made from 00 Non-GMO unbleached flour since opening in 2023, HillCrust Pizza operates at 127 University Ave in Hillcrest's 92103 ZIP code. The same 00-flour fermentation technique produces garlic knots and calzones alongside the pizza menu, building out an Italian carb program on the corridor that includes Gelato Vero Caffe's house-churned gelato nearby. Each pizza starts with certified San Marzano tomatoes imported from Italy and hand-pulled fresh mozzarella, while the cheesesteak menu uses sirloin steak layered on Amoroso rolls shipped from Philadelphia. Draft taps rotate through San Diego craft selections that pair with the imported Italian ingredient base, including house pours from Hillcrest Brewing Company Bar & Pizzeria down the block on University Ave. The kitchen stretches dough for full custom pies and builds complete vegan-protein cheesesteaks with plant-based cheese on the same imported Amoroso rolls.