This variety of pizza is made by placing the stretched dough on the grates over hot coals, cooking it one side, flipping the dough, and topping it in reverse – cheese first, sauce second. It is then returned on the grates in order for the other side to cook and for the cheese to melt.

The result is a crispy, airy, well-charred pizza with a smoky flavor. Grilled pizza can be topped with virtually any ingredient according to personal preferences. It's believed that the birthplace of grilled pizza is Al Forno in Providence, Rhode Island.