Peppino Spaghetti is the protagonist of Pizza Tower, a fast-paced indie platform game released in 2023 by Tour de Pizza, where his exaggerated reactions are central to its slapstick humour. His scream, heard when he takes damage or is caught off guard, was clipped from gameplay and shared widely in short-form edits, reaction videos and meme soundboards. It spread because the sound is instantly recognisable to fans of the game while still working for viewers who have never played it, giving any sudden failure or surprise a loud, comic punchline.