Spanish restaurant El Celler de Can Roca unseated Noma on 2013's list, but fell back to second place when the results were announced Monday at a London ceremony.
"It's too [expletive] crazy!" Rene Redzepi, Noma's head chef, said in his acceptance speech. "Thank you for believing in us."
"In the last year my staff and I looked into each others' eyes and said 'let's just really really work hard,'" Redzepi said of his restaurant's year in second place. "We made a plan and said 'let's make this the best year we've ever had.'"
Osteria Francescana, in Modena, Italy, took third place, while Eleven Madison Park in New York City was the highest-ranking American restaurant at No. 4.
London's Dinner by Heston Blumenthal rounded out the top five.