Pepperoni pizza is also an American variation on Italian cuisine

Speaking of ordering pizza while on vacation in Italy, don’t ask for a pepperoni pizza and expect to get the same type of topping you are used to. In the Italian language, the word “peperoni” means “bell pepper,” so an order for a “peperoni pizza” will yield a spicy, thin-crust pizza loaded with peppers. In fact, the standard pepperoni pizza as we know it in the United States doesn’t even exist in Italy. “Pepperoni” is an entirely American type of salami sausage, usually made from a mixture of pork and beef.