This unique pizza variety is a Jamaican invention, consisting of a pizza crust that is topped with sliced onions, shredded cheese, tomato sauce, and cooked ackee and saltfish, which is one of the most popular Jamaican dishes. Most commonly, the pizza is baked without ackee and saltfish, until the cheese melts just slightly, but not completely.

It is then topped with ackee and saltfish and baked for another five minutes. The bold combination of fruit, fish, cheese, and onions make this pizza variety popular throughout the island.