Pizza toppings are often hotly contested, like the age-old argument of whether pineapple or stinky anchovies are acceptable. However, there's a pizza unique to a suburban Pennsylvania town that regularly has people scratching their heads in confusion at the sight of it.

The Altoona-style pizza includes all the regular toppings, like tomato sauce, salami, and green bell pepper. However, often throwing people off is the slab of bright yellow American cheese that smothers it all.