Reviewers consistently praise Highland Spice Café's injera—particularly its teff-only preparation that appeals to gluten-free diners—along with its coffee, which multiple guests describe as incredibly smooth with excellent flavor and aroma. The husband-and-wife owner team receives repeated recognition for their warmth, attentiveness, and willingness to discuss allergies and menu recommendations, while signature dishes like tibs, misir wot, Ful Bowls, and the Special Fata Bowl are frequently mentioned for their fresh ingredients and bold, well-balanced seasoning. The recently remodeled space is characterized as cozy and welcoming, with regulars noting its role in filling a gap for Ethiopian breakfast and cuisine in Portland.