A very thick pizza, with a lot of cheese and tomato sauce, with your choice of meats and vegetables, it has a thick style crust mostly like a Pie! Hence the phrase pizza pie!! It's normally eaten with a fork, and on average takes about 45 minutes to bake!!
When a girl is sexed so rough that she bleeds, yet still takes the finishing move in her mouth. The combo of deep thrusting, blood, and ejaculate imitate a deep dish pizza.