Yes, I can confirm. For an Italian, the "Pizza made in U.S.A" doesn't qualify as pizza at all. The very idea of having sausage, pepperoni, onions, mushroms and many other things on top of an already complete dish like a pizza makes most of us shiver (actually I'm torn between laughing and thanking I can eat the "original stuff" or crying know that most of North Americans believe theirs is the original dish just because they had tasted it in an "italian" restaurant). We have many choices when we go to pizza shops, so it's no like "margherita or nothing else", we do have even "exotic" ones like with pineapple (but not pineapple and meat) or cream/salmon/shrimps (which is exquisite, but hardly a pizza in the very sense of the dish), but no pizza maker here would dare to put together those 10 and more ingredients that are "classic" for U.S.A consumers. :P