My first response, given a perfusion of Milanos on one side of the family, is "they think differently about most everything". They also have radial pizzas, something different on every slice including a sunny side up egg. So while I really do like most of the pizza I get over there, some of it is a tad odd. And don't get me started about what you can eat at what time of day; an interesting combination of cultural anarchy and OCD.
Edit: and thought they would never be caught dead admitting that these are pizza's, you have not lived until you have had a Barbarian from Conan's deep dish in Austin TX (if they still exist).