Pizza Tower is a fast-paced indie platform game released in 2023, starring Peppino Spaghetti in a frantic race through a cartoon tower filled with pizza-themed chaos. Its exaggerated animation, loud reactions and constant sense of panic made it a natural fit for meme edits, where creators isolated long screams and paired them with fails, chases and disasters. The AAAAAAA clip spread as a scream meme in gaming edits and reaction videos, and it is still used because its length lets creators stretch a single moment of panic across an entire joke.