From what I have read about Patsy's and Lombardi's, I would choose Patsy's but only the East Harlem location. According to Jeff, the rest of the Patsy's locations stink. If you go to Lombardi's, you should ask them to go light on the sauce and the Romano cheese. That appears to be a common complaint about Lombardi's and, having been there myself, I would agree. Maybe things have changed since I was there but recent reviewers feel that Lombardi's has gone downhill. That's another reason I would favor the original Patsy's.