The Hill is a mostly Italian-American neighborhood within St. Louis, Missouri, located on high ground south of Forest Park. The official boundaries of the area are Manchester Avenue (Route 100) on the north, Columbia and Southwest Avenues on the south, South Kingshighway Boulevard on the east, and Hampton Avenue on the west.
Its name is due to its proximity to the highest point of the city, formerly named St. Louis Hill, which is a few blocks south, at the intersection of Arsenal Street and Sublette Avenue. The intersection borders Sublette Park, the former site of the Social Evil Hospital built there in 1873.
Italians, mainly from northern Italy and Sicily, immigrated and settled in the area starting in the late 19th century, attracted by jobs in nearby plants established to exploit deposits of clay discovered by immigrants in the 1830s.