Usually means: Vomit on the ground outside.
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We found 6 dictionaries that define the word pavement pizza:

General (1 matching dictionary)
  1. pavement-pizza, pavement pizza: Wiktionary

Computing (1 matching dictionary)
  1. Pavement Pizza: Encyclopedia

Medicine (1 matching dictionary)
  1. Pavement Pizza: Medical dictionary

Slang (2 matching dictionaries)
  1. pavement pizza: English slang and colloquialisms used in the United Kingdom
  2. Pavement Pizza: Urban Dictionary

Sports (1 matching dictionary)
  1. Pavement pizza: Sports Definitions

Definitions from Wiktionary (pavement pizza)

noun:  (UK, Australia, humorous) A patch of vomit on the pavement, road or ground.
noun:  (humorous) The badly damaged bodily remains of a person who has jumped or fallen from a great height.
noun:  (US, humorous) Roadkill.

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