A Danish restaurant whose menu has featured moss, lichen and bone marrow has been named the best in the world.
For the second year running, chef Rene Redzepi's Noma has topped the S.Pellegrino World's 50 Best Restaurants list - billed as the 'Oscars' of the restaurant world.
Heston Blumenthal's The Fat Duck in Bray, Berkshire, famed for mustard ice cream and snail porridge, dropped two places to number five.
The Ledbury in Notting Hill, West London, run by Australian Brett Graham, is the highest new entry at number 34.
Claude Bosi's Hibiscus, Mayfair, central London, was ranked at 43, up six on last year, and Fergus Henderson's St John, central London, was ranked at 41, up two places.
Spanish restaurants El Celler de Can Roca and Mugaritz were ranked second and third in the world.
El Bulli, the restaurant in Catalonia which has been given the top ranking five times and came second to Noma last year, does not appear after chef Ferran Adria announced a two-year closure.
The list was drawn from the votes of 800 industry experts worldwide and includes a wider range of nations than previous years with honours going to restaurants from Peru, Russia and Brazil.
William Drew, editor of Restaurant magazine, the organiser of the awards, said: "We heartily congratulate Rene Redzepi for the difficult task of maintaining his position as the number one restaurant on our list which underscores his commitment to redefining Nordic cuisine."