Chef Elliott Howells' menu changes often, with dishes that have included dressed-up burrata, a Frogmore-inspired plate, barbecue-grilled South Carolina peaches, and crispy eggplant with sweet chili and Thai basil sourced from the restaurant's rooftop hydroponic garden. Diners have also noted gnocchi, grouper, cold shrimp, and local tomatoes on the table. Alongside the food, the restaurant runs a curated wine list, classic and modern cocktails, and a selection of rare bourbons and scotches, with the bar team drawing particular praise from regulars.
The Establishment was recognized as Michelin Selected in the 2025 Michelin Guide to the American South, one of fifteen Charleston restaurants named in that inaugural list.

