PA has "Altoona style" and "Old Forge style", both hailing from miserable coal bust towns and consisting more or less of a slice of american "cheese" and red sauce on a sheet crust, I think one has a green pepper under it.

Is that honest abe?

Cincinnati has a pizza with fucking chilli on it. It was on the menu at the place I was at, and the bartender said it's somewhat of a local delicacy. I asked her if there was anything special about the chilli. Yeah, there's sugar in it, and it's sweet. I laughed in her face and took a hard pass. Apparently they also put it on spaghetti. Fuck both of those dishes, I don't need any Cincinnati "culture".